IP Review

Unattributed Code Systems

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IG © 2025+ gematik GmbH. Package de.gematik.epa.medication#1.0.5-1 based on FHIR 4.0.1. Generated 2025-03-04 Links: Table of Contents | QA Report ( src )
hl7.fhir.us.hai: Healthcare Associated Infection Implementation Guide ®© HL7 | CC0 ( src )
<Bundle xmlns="http://hl7.org/fhir"> <id value="example-get-medication-list-bundle1"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:9e1f5895-ab0b-4237-856d-fa1065631400"/> </identifier> <type value="searchset"/> <timestamp value="2025-01-01T00:00:00Z"/> <total value="16"/> <link> <relation value="self"/> <url value="http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=0"/> </link> <link> <relation value="first"/> <url value="http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=0"/> </link> <link> <relation value="next"/> <url value="http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=10"/> </link> <link> <relation value="last"/> <url value="http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=10"/> </link> <entry> <fullUrl value="http://epa4all/epa/medication/api/v1/fhir/Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12"/> <resource> <Medication> <id value="2d5a0317-b2df-4d7b-ad72-07f5f66f9f12"/> <meta> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"/> </meta> <extension url="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension"> <valueIdentifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/> <value value="160.153.303.260.460_202508220"/> </valueIdentifier> </extension> <identifier> <system value="https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier"/> <value value="48E951DFE10F5669D3C66D581E5767DE32CFD788C94693E5C78193DB2D3F095B"/> </identifier> <identifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"/> <value value="5a2a0f6c-b1d9-46b9-b377-c61586d1aa1e_160.153.303.260.460"/> </identifier> <code> <coding> <system value="http://fhir.de/CodeSystem/ifa/pzn"/> <code value="03953522"/> <display value="Metoprolol-ratiopharm® 100 mg Tabletten"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="7092007"/> <display value="Product containing metoprolol (medicinal product)"/> </coding> <coding> <system value="http://fhir.de/CodeSystem/bfarm/atc"/> <version value="2022"/> <code value="C07AB02"/> <display value="Metoprolol"/> </coding> </code> <status value="active"/> <form> <coding> <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/> <version value="1.10"/> <code value="TAB"/> <display value="Tabletten"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="385055001"/> <display value="Tablet (basic dose form)"/> </coding> <coding> <system value="http://standardterms.edqm.eu"/> <code value="12200"/> <display value="Tablet"/> </coding> </form> <amount> <numerator> <value value="100"/> <unit value="MilliGram"/> <system value="http://unitsofmeasure.org"/> <code value="mg"/> </numerator> <denominator> <value value="1"/> <unit value="Tablet"/> <system value="http://unitsofmeasure.org"/> <code value="{Tablet}"/> </denominator> </amount> </Medication> </resource> </entry> <entry> <fullUrl value="http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/ebdd8651-3971-4ecc-b651-8e54083b0339"/> <resource> <MedicationRequest> <id value="ebdd8651-3971-4ecc-b651-8e54083b0339"/> <meta> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request"/> </meta> <extension url="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"> <extension url="indicator"> <valueBoolean value="false"/> </extension> </extension> <identifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/> <value value="160.153.303.257.459_20250122"/> </identifier> <identifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"/> <value value="6ae6a7ca-c9b5-46bf-9411-2ba49d96f988_160.153.303.257.459"/> </identifier> <status value="completed"/> <intent value="order"/> <medicationReference> <reference value="Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12"/> </medicationReference> <subject> <identifier> <system value="http://fhir.de/sid/gkv/kvid-10"/> <value value="X110411319"/> </identifier> </subject> <authoredOn value="2025-08-22"/> <requester>🔗 <reference value="Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c"/> </requester> <dosageInstruction> <text value="1-1-1-0"/> </dosageInstruction> <dispenseRequest> <quantity> <value value="1"/> <system value="http://unitsofmeasure.org"/> <code value="{Package}"/> </quantity> </dispenseRequest> <substitution> <allowedBoolean value="false"/> </substitution> </MedicationRequest> </resource> </entry> <entry> <fullUrl value="http://epa4all/epa/medication/api/v1/fhir/MedicationDispense/158311c5-c2da-4e2a-ac0b-0d54c9fe419c"/> <resource> <MedicationDispense> <id value="158311c5-c2da-4e2a-ac0b-0d54c9fe419c"/> <meta> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"/> </meta> <extension url="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension"> <valueIdentifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/> <value value="160.153.303.260.460_202508220"/> </valueIdentifier> </extension> <identifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"/> <value value="014e141a-df43-447c-927e-9d83ef7eddb3_160.153.303.260.460"/> </identifier> <status value="completed"/> <medicationReference> <reference value="Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12"/> </medicationReference> <subject> <identifier> <system value="http://fhir.de/sid/gkv/kvid-10"/> <value value="X110411319"/> </identifier> </subject> <performer> <actor>🔗 <reference value="Organization/151f1697-7512-4e21-9466-1b75207475d8"/> </actor> </performer> <whenHandedOver value="2025-08-22"/> <dosageInstruction> <text value="1-0-0-0"/> </dosageInstruction> <substitution> <wasSubstituted value="false"/> </substitution> </MedicationDispense> </resource> </entry> <entry> <fullUrl value="http://epa4all/epa/medication/api/v1/fhir/PractitionerRole/73a551f8-d8cd-4b44-823d-ab5f8aeab1aa"/> <resource> <PractitionerRole> <id value="73a551f8-d8cd-4b44-823d-ab5f8aeab1aa"/> <practitioner>🔗 <reference value="Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c"/> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <version value="2.9.0"/> <code value="PRN"/> <display value="Provider number"/> </coding> </type> <system value="https://gematik.de/fhir/sid/telematik-id"/> <value value="1-1.58.00000040"/> </identifier> </practitioner> <organization>🔗 <reference value="Organization/be51e0d2-783d-4e21-b16b-1a4cd7403515"/> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <version value="2.9.0"/> <code value="PRN"/> <display value="Provider number"/> </coding> </type> <system value="https://gematik.de/fhir/sid/telematik-id"/> <value value="9-2.58.00000040"/> </identifier> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="http://epa4all/epa/medication/api/v1/fhir/Organization/be51e0d2-783d-4e21-b16b-1a4cd7403515"/> <resource> <Organization> <id value="be51e0d2-783d-4e21-b16b-1a4cd7403515"/> <meta> <profile value="https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"/> <tag> <system value="https://gematik.de/fhir/directory/CodeSystem/Origin"/> <code value="ldap"/> </tag> </meta> <identifier> <system value="https://gematik.de/fhir/sid/telematik-id"/> <value value="9-2.58.00000040"/> </identifier> <active value="true"/> <type> <coding> <system value="https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID"/> <code value="1.2.276.0.76.4.58"/> <display value="Betriebsstätte gematik"/> </coding> </type> <name value="gematik GmbH"/> <alias value="gematik"/> <address> <text value="gematik GmbH Friedrichstr. 136, 10117 Berlin"/> <line value="Friedrichstr. 136"/> <city value="Berlin"/> <district value="Mitte"/> <state value="Berlin"/> <postalCode value="10117"/> <country value="DE"/> </address> <contact> <purpose> <coding> <system value="http://terminology.hl7.org/CodeSystem/contactentity-type"/> <code value="ADMIN"/> </coding> </purpose> <name> <text value="gematik ITSM"/> </name> <telecom> <system value="email"/> <value value="betrieb@gematik.de"/> </telecom> </contact> </Organization> </resource> </entry> <entry> <fullUrl value="http://epa4all/epa/medication/api/v1/fhir/Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c"/> <resource> <Practitioner> <id value="498c345f-31f5-4da6-9f04-00fa2bc8af7c"/> <meta> <profile value="https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory"/> <tag> <system value="https://gematik.de/fhir/directory/CodeSystem/Origin"/> <code value="ldap"/> </tag> </meta> <identifier> <system value="https://gematik.de/fhir/sid/telematik-id"/> <value value="1-1.58.00000040"/> </identifier> <identifier> <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR"/> <value value="123456789"/> </identifier> <active value="true"/> <name> <text value="Dr. Max Manfred Mustermann"/> <family value="Musterman"/> <given value="Max"/> <given value="Manfred"/> <prefix value="Dr."/> </name> <qualification> <code> <coding> <system value="https://gematik.de/fhir/directory/CodeSystem/PractitionerProfessionOID"/> <code value="1.2.276.0.76.4.31"/> </coding> </code> </qualification> <qualification> <code> <coding> <system value="urn:oid:1.2.276.0.76.5.514"/> <code value="011001"/> <display value="FA Allgemeinmedizin"/> </coding> </code> </qualification> <qualification> <code> <coding> <system value="urn:oid:1.2.276.0.76.5.514"/> <code value="141104"/> <display value="FA Innere Medizin und Schwerpunkt Gastroenterologie"/> </coding> </code> </qualification> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://epa4all/epa/medication/api/v1/fhir/Organization/151f1697-7512-4e21-9466-1b75207475d8"/> <resource> <Organization> <id value="151f1697-7512-4e21-9466-1b75207475d8"/> <meta> <profile value="https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"/> <tag> <system value="https://gematik.de/fhir/directory/CodeSystem/Origin"/> <code value="ldap"/> </tag> </meta> <identifier> <system value="https://gematik.de/fhir/sid/telematik-id"/> <value value="9-2.58.00000040"/> </identifier> <active value="true"/> <type> <coding> <system value="https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID"/> <code value="1.2.276.0.76.4.54"/> <display value="Öffentliche Apotheke"/> </coding> </type> <name value="gematik Apotheke"/> <alias value="Apotheke"/> <address> <text value="gematik Apotheke Friedrichstr. 136, 10117 Berlin"/> <line value="Friedrichstr. 136"/> <city value="Berlin"/> <district value="Mitte"/> <state value="Berlin"/> <postalCode value="10117"/> <country value="DE"/> </address> <contact> <purpose> <coding> <system value="http://terminology.hl7.org/CodeSystem/contactentity-type"/> <code value="ADMIN"/> </coding> </purpose> <name> <text value="gematik ITSM"/> </name> <telecom> <system value="email"/> <value value="betrieb@gematik.de"/> </telecom> </contact> </Organization> </resource> </entry> </Bundle> ( src )
<Medication xmlns="http://hl7.org/fhir"> <id value="ExampleEPAMedicationMax"/> <meta> <versionId value="1"/> <lastUpdated value="2023-02-03T11:30:00+01:00"/> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"/> </meta> <extension url="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension"> <valueCoding> <system value="http://snomed.info/sct"/> <code value="373873005"/> <display value="Pharmaceutical / biologic product (product)"/> </valueCoding> </extension> <code> <coding> <system value="http://fhir.de/CodeSystem/ifa/pzn"/> <version value="1.5.0"/> <code value="9717395"/> <display value="Maaloxan® 25 mVal Sodbrennen Kautabletten Lemon"/> </coding> <coding> <system value="http://fhir.de/CodeSystem/bfarm/atc"/> <code value="A02AD10"/> <display value="Aluminiumoxid in Kombination mit Magnesiumhydroxid"/> </coding> <coding> <system value="http://fhir.de/CodeSystem/ask"/> <code value="2250"/> <display value="Magnesiumhydroxid"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="418673005"/> <display value="Product containing aluminium oxide (medicinal product)"/> </coding> <text value="Maaloxan® 25 mVal Sodbrennen Kautabletten Lemon"/> </code> <status value="active"/> <manufacturer> <display value="Praxis Dr. med. Hans Topp-Glücklich"/> </manufacturer> <form> <coding> <system value="http://standardterms.edqm.eu"/> <code value="10228000"/> <display value="Chewable tablet"/> </coding> <coding> <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"/> <code value="KTA"/> <display value="Kautabletten"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="66076007"/> <display value="Conventional release chewable tablet (dose form)"/> </coding> </form> <amount> <numerator> <value value="30"/> <unit value="Tabletten"/> <system value="http://unitsofmeasure.org"/> <code value="{Tabletten}"/> </numerator> <denominator> <value value="1"/> <unit value="Package"/> <system value="http://unitsofmeasure.org"/> <code value="{Package}"/> </denominator> </amount> <ingredient> <itemCodeableConcept> <coding> <system value="http://fhir.de/CodeSystem/ask"/> <code value="2250"/> <display value="Magnesiumhydroxid"/> </coding> <coding> <system value="http://fhir.de/CodeSystem/bfarm/atc"/> <code value="A02AA04"/> <display value="Magnesiumhydroxid"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="387337001"/> <display value="Magnesium hydroxide (substance)"/> </coding> </itemCodeableConcept> <strength> <numerator> <value value="400"/> <unit value="milligramm"/> <system value="http://unitsofmeasure.org"/> <code value="mg"/> </numerator> <denominator> <value value="1"/> <unit value="Tabletten"/> <system value="http://unitsofmeasure.org"/> <code value="{Tabletten}"/> </denominator> </strength> </ingredient> <ingredient> <itemCodeableConcept> <coding> <system value="http://fhir.de/CodeSystem/ask"/> <code value="1253"/> <display value="Algeldrat"/> </coding> <coding> <system value="http://fhir.de/CodeSystem/bfarm/atc"/> <code value="A02AB01"/> <display value="Aluminiumhydroxid"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="273944007"/> <display value="Aluminium hydroxide (substance)"/> </coding> </itemCodeableConcept> <strength> <numerator> <value value="400"/> <unit value="milligramm"/> <system value="http://unitsofmeasure.org"/> <code value="mg"/> </numerator> <denominator> <value value="1"/> <unit value="Tabletten"/> <system value="http://unitsofmeasure.org"/> <code value="{Tabletten}"/> </denominator> </strength> </ingredient> </Medication> ( src )
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="epa-medication-request"/> <url value="https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request"/> <version value="1.0.5-1"/> <name value="EPAMedicationRequest"/> <title value="EPA MedicationRequest"/> <status value="active"/> <experimental value="false"/> <date value="2025-02-28"/> <publisher value="gematik GmbH"/> <contact> <name value="gematik GmbH"/> <telecom> <system value="url"/> <value value="https://www.gematik.de"/> </telecom> <telecom> <system value="email"/> <value value="patientteam [ at ] gematik.de"/> </telecom> </contact> <description value="Defines the medication request resource for the Medication Service in the ePA system."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="DE"/> </coding> </jurisdiction> <fhirVersion value="4.0.1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="script10.6"/> <uri value="http://ncpdp.org/SCRIPT10_6"/> <name value="Mapping to NCPDP SCRIPT 10.6"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="MedicationRequest"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="MedicationRequest"> <path value="MedicationRequest"/> <short value="Ordering of medication for patient or group"/> <definition value="An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns."/> <alias value="Prescription"/> <alias value="Order"/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/> <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx"/> </mapping> <mapping> <identity value="rim"/> <map value="CombinedMedicationRequest"/> </mapping> </element> <element id="MedicationRequest.id"> <path value="MedicationRequest.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isSummary value="true"/> </element> <element id="MedicationRequest.meta"> <path value="MedicationRequest.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.meta.id"> <path value="MedicationRequest.meta.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.meta.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.meta.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.meta.versionId"> <path value="MedicationRequest.meta.versionId"/> <short value="Version specific identifier"/> <definition value="The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted."/> <comment value="The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes."/> <min value="0"/> <max value="1"/> <base> <path value="Meta.versionId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.meta.lastUpdated"> <path value="MedicationRequest.meta.lastUpdated"/> <short value="When the resource version last changed"/> <definition value="When the resource last changed - e.g. when the version changed."/> <comment value="This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction."/> <min value="0"/> <max value="1"/> <base> <path value="Meta.lastUpdated"/> <min value="0"/> <max value="1"/> </base> <type> <code value="instant"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.meta.source"> <path value="MedicationRequest.meta.source"/> <short value="Identifies where the resource comes from"/> <definition value="A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc."/> <comment value="In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL."/> <min value="0"/> <max value="1"/> <base> <path value="Meta.source"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.meta.profile"> <path value="MedicationRequest.meta.profile"/> <short value="Profiles this resource claims to conform to"/> <definition value="A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)."/> <comment value="It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set."/> <min value="0"/> <max value="*"/> <base> <path value="Meta.profile"/> <min value="0"/> <max value="*"/> </base> <type> <code value="canonical"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.meta.security"> <path value="MedicationRequest.meta.security"/> <short value="Security Labels applied to this resource"/> <definition value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure."/> <comment value="The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored."/> <min value="0"/> <max value="*"/> <base> <path value="Meta.security"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SecurityLabels"/> </extension> <strength value="extensible"/> <description value="Security Labels from the Healthcare Privacy and Security Classification System."/> <valueSet value="http://hl7.org/fhir/ValueSet/security-labels"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="MedicationRequest.meta.tag"> <path value="MedicationRequest.meta.tag"/> <short value="Tags applied to this resource"/> <definition value="Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource."/> <comment value="The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored."/> <min value="0"/> <max value="*"/> <base> <path value="Meta.tag"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Tags"/> </extension> <strength value="example"/> <description value="Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"."/> <valueSet value="http://hl7.org/fhir/ValueSet/common-tags"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="MedicationRequest.implicitRules"> <path value="MedicationRequest.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.language"> <path value="MedicationRequest.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.text"> <path value="MedicationRequest.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="MedicationRequest.contained"> <path value="MedicationRequest.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription"> <path value="MedicationRequest.extension"/> <sliceName value="multiplePrescription"/> <short value="MultiplePrescription"/> <definition value="This FHIR Extension for multiple prescriptions adds details such as repetition count and time intervals for repeated medication orders to FHIR resources."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.id"> <path value="MedicationRequest.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension"> <path value="MedicationRequest.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="closed"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:indicator"> <path value="MedicationRequest.extension.extension"/> <sliceName value="indicator"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:indicator.id"> <path value="MedicationRequest.extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:indicator.extension"> <path value="MedicationRequest.extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:indicator.url"> <path value="MedicationRequest.extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="indicator"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:indicator.value[x]"> <path value="MedicationRequest.extension.extension.value[x]"/> <short value="Multiple Prescription Indicator"/> <definition value="Indicator of whether the current prescription is part of a multiple prescription true - the current prescription is part of a multiple prescription false - the current prescription is not part of a multiple prescription"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter"> <path value="MedicationRequest.extension.extension"/> <sliceName value="counter"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.id"> <path value="MedicationRequest.extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.extension"> <path value="MedicationRequest.extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.url"> <path value="MedicationRequest.extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="counter"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x]"> <path value="MedicationRequest.extension.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].id"> <path value="MedicationRequest.extension.extension.value[x].id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.extension.extension.value[x].extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator"> <path value="MedicationRequest.extension.extension.value[x].numerator"/> <short value="Numerator value"/> <definition value="The value of the numerator."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="1"/> <max value="1"/> <base> <path value="Ratio.numerator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value=".numerator"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.id"> <path value="MedicationRequest.extension.extension.value[x].numerator.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.extension.extension.value[x].numerator.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.value"> <path value="MedicationRequest.extension.extension.value[x].numerator.value"/> <short value="Multiple Prescription Counter"/> <definition value="The field serves to indicate which number in a series of multiple prescriptions it is. Example: "2" in "2 out of 4""/> <comment value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)."/> <requirements value="Precision is handled implicitly in almost all cases of measurement."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.2 / CQ - N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.comparator"> <path value="MedicationRequest.extension.extension.value[x].numerator.comparator"/> <short value="< | <= | >= | > - how to understand the value"/> <definition value="How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.comparator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuantityComparator"/> </extension> <strength value="required"/> <description value="How the Quantity should be understood and represented."/> <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.1 / CQ.1"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL properties"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.unit"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="MedicationRequest.extension.extension.value[x].numerator.unit"/> <short value="Unit representation"/> <definition value="A human-readable form of the unit."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.unit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.unit"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.system"> <path value="MedicationRequest.extension.extension.value[x].numerator.system"/> <short value="System that defines coded unit form"/> <definition value="The identification of the system that provides the coded form of the unit."/> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/> <requirements value="Need to know the system that defines the coded form of the unit."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <condition value="qty-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="CO.codeSystem, PQ.translation.codeSystem"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.code"> <path value="MedicationRequest.extension.extension.value[x].numerator.code"/> <short value="Coded form of the unit"/> <definition value="A computer processable form of the unit in some unit representation system."/> <comment value="The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system."/> <requirements value="Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.code, MO.currency, PQ.translation.code"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator"> <path value="MedicationRequest.extension.extension.value[x].denominator"/> <short value="Denominator value"/> <definition value="The value of the denominator."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="1"/> <max value="1"/> <base> <path value="Ratio.denominator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value=".denominator"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.id"> <path value="MedicationRequest.extension.extension.value[x].denominator.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.extension.extension.value[x].denominator.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.value"> <path value="MedicationRequest.extension.extension.value[x].denominator.value"/> <short value="Denominator of Multiple Prescription Series"/> <definition value="The field serves to indicate the length of this series. Example: "4" in "2 out of 4""/> <comment value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)."/> <requirements value="Precision is handled implicitly in almost all cases of measurement."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.2 / CQ - N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.comparator"> <path value="MedicationRequest.extension.extension.value[x].denominator.comparator"/> <short value="< | <= | >= | > - how to understand the value"/> <definition value="How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.comparator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuantityComparator"/> </extension> <strength value="required"/> <description value="How the Quantity should be understood and represented."/> <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.1 / CQ.1"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL properties"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.unit"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="MedicationRequest.extension.extension.value[x].denominator.unit"/> <short value="Unit representation"/> <definition value="A human-readable form of the unit."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.unit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.unit"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.system"> <path value="MedicationRequest.extension.extension.value[x].denominator.system"/> <short value="System that defines coded unit form"/> <definition value="The identification of the system that provides the coded form of the unit."/> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/> <requirements value="Need to know the system that defines the coded form of the unit."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <condition value="qty-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="CO.codeSystem, PQ.translation.codeSystem"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.code"> <path value="MedicationRequest.extension.extension.value[x].denominator.code"/> <short value="Coded form of the unit"/> <definition value="A computer processable form of the unit in some unit representation system."/> <comment value="The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system."/> <requirements value="Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.code, MO.currency, PQ.translation.code"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period"> <path value="MedicationRequest.extension.extension"/> <sliceName value="period"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.id"> <path value="MedicationRequest.extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.extension"> <path value="MedicationRequest.extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.url"> <path value="MedicationRequest.extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="period"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x]"> <path value="MedicationRequest.extension.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="-limitationDateStart"/> <severity value="error"/> <human value="Limitation of the date format to 10 characters YYYY-MM-DD"/> <expression value="start.toString().length()=10"/> <source value="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"/> </constraint> <constraint> <key value="-limitationDateEnd"/> <severity value="error"/> <human value="Limitation of the date format to 10 characters YYYY-MM-DD"/> <expression value="end.exists().not() or end.toString().length()=10"/> <source value="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x].id"> <path value="MedicationRequest.extension.extension.value[x].id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x].extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.extension.extension.value[x].extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x].start"> <path value="MedicationRequest.extension.extension.value[x].start"/> <short value="Start Date of the Prescription Redemption Period"/> <definition value="Date from which the partial prescription of the multiple prescription can be redeemed"/> <comment value="If the low element is missing, the meaning is that the low boundary is not known."/> <min value="1"/> <max value="1"/> <base> <path value="Period.start"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <condition value="ele-1"/> <condition value="per-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="DR.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./low"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x].end"> <path value="MedicationRequest.extension.extension.value[x].end"/> <short value="End Date of the Prescription Redemption Period"/> <definition value="Date of the last redemption day for the partial prescription within the multiple prescription series. The issuer may specify a redemption period different from the one outlined in the Medicinal Products Prescription Ordinance (AMVV)"/> <comment value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03."/> <min value="0"/> <max value="1"/> <base> <path value="Period.end"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <meaningWhenMissing value="If the end of the period is missing, it means that the period is ongoing"/> <condition value="ele-1"/> <condition value="per-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="DR.2"/> </mapping> <mapping> <identity value="rim"/> <map value="./high"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id"> <path value="MedicationRequest.extension.extension"/> <sliceName value="id"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.id"> <path value="MedicationRequest.extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.extension"> <path value="MedicationRequest.extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.url"> <path value="MedicationRequest.extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="id"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x]"> <path value="MedicationRequest.extension.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].id"> <path value="MedicationRequest.extension.extension.value[x].id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.extension.extension.value[x].extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].use"> <path value="MedicationRequest.extension.extension.value[x].use"/> <short value="usual | official | temp | secondary | old (If known)"/> <definition value="The purpose of this identifier."/> <comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/> <requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/> <min value="0"/> <max value="0"/> <base> <path value="Identifier.use"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierUse"/> </extension> <strength value="required"/> <description value="Identifies the purpose for this identifier, if known ."/> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].type"> <path value="MedicationRequest.extension.extension.value[x].type"/> <short value="Description of identifier"/> <definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose."/> <comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type."/> <requirements value="Allows users to make use of identifiers when the identifier system is not known."/> <min value="0"/> <max value="0"/> <base> <path value="Identifier.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierType"/> </extension> <strength value="extensible"/> <description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-type"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="CX.5"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].system"> <path value="MedicationRequest.extension.extension.value[x].system"/> <short value="Specification as UUID"/> <definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique."/> <comment value="Identifier.system is always case sensitive."/> <requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="urn:ietf:rfc:3986"/> <example> <label value="General"/> <valueUri value="http://www.acme.com/identifiers/patient"/> </example> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CX.4 / EI-2-4"/> </mapping> <mapping> <identity value="rim"/> <map value="II.root or Role.id.root"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierType"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].value"> <path value="MedicationRequest.extension.extension.value[x].value"/> <short value="Multiple Prescription ID"/> <definition value="A unique ID that is identical across all partial prescriptions of a multiple prescription."/> <comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="123456"/> </example> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CX.1 / EI.1"/> </mapping> <mapping> <identity value="rim"/> <map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/> </mapping> <mapping> <identity value="servd"/> <map value="./Value"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].period"> <path value="MedicationRequest.extension.extension.value[x].period"/> <short value="Time period when id is/was valid for use"/> <definition value="Time period during which identifier is/was valid for use."/> <comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration)."/> <min value="0"/> <max value="0"/> <base> <path value="Identifier.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="per-1"/> <severity value="error"/> <human value="If present, start SHALL have a lower value than end"/> <expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)"/> <xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))"/> <source value="http://hl7.org/fhir/StructureDefinition/Library"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="DR"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]"/> </mapping> <mapping> <identity value="v2"/> <map value="CX.7 + CX.8"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.effectiveTime or implied by context"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].assigner"> <path value="MedicationRequest.extension.extension.value[x].assigner"/> <short value="Organization that issued id (may be just text)"/> <definition value="Organization that issued/manages the identifier."/> <comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization."/> <min value="0"/> <max value="0"/> <base> <path value="Identifier.assigner"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="v2"/> <map value="CX.4 / (CX.4,CX.9,CX.10)"/> </mapping> <mapping> <identity value="rim"/> <map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierIssuingAuthority"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.url"> <path value="MedicationRequest.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:multiplePrescription.value[x]"> <path value="MedicationRequest.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/> <min value="0"/> <max value="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <type> <code value="boolean"/> </type> <type> <code value="canonical"/> </type> <type> <code value="code"/> </type> <type> <code value="date"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="decimal"/> </type> <type> <code value="id"/> </type> <type> <code value="instant"/> </type> <type> <code value="integer"/> </type> <type> <code value="markdown"/> </type> <type> <code value="oid"/> </type> <type> <code value="positiveInt"/> </type> <type> <code value="string"/> </type> <type> <code value="time"/> </type> <type> <code value="unsignedInt"/> </type> <type> <code value="uri"/> </type> <type> <code value="url"/> </type> <type> <code value="uuid"/> </type> <type> <code value="Address"/> </type> <type> <code value="Age"/> </type> <type> <code value="Annotation"/> </type> <type> <code value="Attachment"/> </type> <type> <code value="CodeableConcept"/> </type> <type> <code value="Coding"/> </type> <type> <code value="ContactPoint"/> </type> <type> <code value="Count"/> </type> <type> <code value="Distance"/> </type> <type> <code value="Duration"/> </type> <type> <code value="HumanName"/> </type> <type> <code value="Identifier"/> </type> <type> <code value="Money"/> </type> <type> <code value="Period"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Range"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="Reference"/> </type> <type> <code value="SampledData"/> </type> <type> <code value="Signature"/> </type> <type> <code value="Timing"/> </type> <type> <code value="ContactDetail"/> </type> <type> <code value="Contributor"/> </type> <type> <code value="DataRequirement"/> </type> <type> <code value="Expression"/> </type> <type> <code value="ParameterDefinition"/> </type> <type> <code value="RelatedArtifact"/> </type> <type> <code value="TriggerDefinition"/> </type> <type> <code value="UsageContext"/> </type> <type> <code value="Dosage"/> </type> <type> <code value="Meta"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:isBvg"> <path value="MedicationRequest.extension"/> <sliceName value="isBvg"/> <short value="Extension"/> <definition value="Indicator of whether this regulation is made in reference to the 'Bundesentschädigungsgesetz' or the 'Bundesversorgungsgesetz'."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:isBvg.id"> <path value="MedicationRequest.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.extension:isBvg.extension"> <path value="MedicationRequest.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="MedicationRequest.extension:isBvg.url"> <path value="MedicationRequest.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension:isBvg.value[x]"> <path value="MedicationRequest.extension.value[x]"/> <short value="BVG"/> <definition value="Indicator of whether this regulation applies to claimants under the 'Bundesentschädigungsgesetz' (BEG) or to claimants under the 'Bundesversorgungsgesetz' (BVG). false - not BVG (default value) true - BVG"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.modifierExtension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.modifierExtension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier"/> <slicing> <discriminator> <type value="pattern"/> <path value="$this"/> </discriminator> <description value="ePrescription identifier and overall transaction identifier"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="External ids for this request"/> <definition value="Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server."/> <comment value="This is a business identifier, not a resource identifier."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/> </mapping> <mapping> <identity value="rim"/> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/> </mapping> <mapping> <identity value="servd"/> <map value="Identifier"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.identifier"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Header/PrescriberOrderNumber"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="MedicationRequest.identifier:RxPrescriptionProcessIdentifier"> <path value="MedicationRequest.identifier"/> <sliceName value="RxPrescriptionProcessIdentifier"/> <short value="External ids for this request"/> <definition value="Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server."/> <comment value="This is a business identifier, not a resource identifier."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier"/> </type> <patternIdentifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/> </patternIdentifier> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/> </mapping> <mapping> <identity value="rim"/> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/> </mapping> <mapping> <identity value="servd"/> <map value="Identifier"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.identifier"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Header/PrescriberOrderNumber"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="MedicationRequest.identifier:RxOriginatorProcessIdentifier"> <path value="MedicationRequest.identifier"/> <sliceName value="RxOriginatorProcessIdentifier"/> <short value="External ids for this request"/> <definition value="Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server."/> <comment value="This is a business identifier, not a resource identifier."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier"/> </type> <patternIdentifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"/> </patternIdentifier> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/> </mapping> <mapping> <identity value="rim"/> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/> </mapping> <mapping> <identity value="servd"/> <map value="Identifier"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.identifier"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Header/PrescriberOrderNumber"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="MedicationRequest.status"> <path value="MedicationRequest.status"/> <short value="Status of Medication Request"/> <definition value="A code specifying the current state of the order. Generally, this will be active or completed state."/> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/> <isSummary value="true"/> <binding> <strength value="required"/> <valueSet value="https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.status"/> </mapping> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="rim"/> <map value=".statusCode"/> </mapping> </element> <element id="MedicationRequest.statusReason"> <path value="MedicationRequest.statusReason"/> <short value="Reason for current status"/> <definition value="Captures the reason for the current state of the MedicationRequest."/> <comment value="This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.statusReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestStatusReason"/> </extension> <strength value="example"/> <description value="Identifies the reasons for a given status."/> <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.statusReason"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> </mapping> </element> <element id="MedicationRequest.intent"> <path value="MedicationRequest.intent"/> <short value="filler-order"/> <definition value="e.g. when data is synchronized with the E-Rezept-Fachdienst, the 'filler-order' code should be used here."/> <comment value="It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.intent"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestIntent"/> </extension> <strength value="required"/> <description value="The kind of medication order."/> <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.intent"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"/> </mapping> </element> <element id="MedicationRequest.category"> <path value="MedicationRequest.category"/> <short value="Type of medication usage"/> <definition value="Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient))."/> <comment value="The category can be used to include where the medication is expected to be consumed or other types of requests."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestCategory"/> </extension> <strength value="example"/> <description value="A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment."/> <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-category"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value"/> </mapping> </element> <element id="MedicationRequest.priority"> <path value="MedicationRequest.priority"/> <short value="routine | urgent | asap | stat"/> <definition value="Indicates how quickly the Medication Request should be addressed with respect to other requests."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.priority"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestPriority"/> </extension> <strength value="required"/> <description value="Identifies the level of importance to be assigned to actioning the request."/> <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.priority"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.grade"/> </mapping> <mapping> <identity value="rim"/> <map value=".priorityCode"/> </mapping> </element> <element id="MedicationRequest.doNotPerform"> <path value="MedicationRequest.doNotPerform"/> <short value="True if request is prohibiting action"/> <definition value="If true indicates that the provider is asking for the medication request not to occur."/> <comment value="If do not perform is not specified, the request is a positive request e.g. "do perform"."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.doNotPerform"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="SubstanceAdministration.actionNegationInd"/> </mapping> </element> <element id="MedicationRequest.reported[x]"> <path value="MedicationRequest.reported[x]"/> <short value="Reported rather than primary record"/> <definition value="Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.reported[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=INF].role"/> </mapping> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]"/> <short value="Medication to be taken"/> <definition value="Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications."/> <comment value="If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.medication[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.code"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"/> </mapping> <mapping> <identity value="rim"/> <map value="consumable.administrableMedication"/> </mapping> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject"/> <short value="Who or group medication request is for"/> <definition value="A link to a resource representing the person or set of individuals to whom the medication will be given."/> <comment value="The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.subject"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT)"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3-Patient ID List"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="MedicationRequest.subject.id"> <path value="MedicationRequest.subject.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.subject.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.subject.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.subject.reference"> <path value="MedicationRequest.subject.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <condition value="ref-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.subject.type"> <path value="MedicationRequest.subject.type"/> <short value="Type the reference refers to (e.g. "Patient")"/> <definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)."/> <comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FHIRResourceTypeExt"/> </extension> <strength value="extensible"/> <description value="Aa resource (or, for logical models, the URI of the logical model)."/> <valueSet value="http://hl7.org/fhir/ValueSet/resource-types"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.subject.identifier"> <path value="MedicationRequest.subject.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)."/> <min value="1"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> <profile value="http://fhir.de/StructureDefinition/identifier-kvid-10"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/> </mapping> <mapping> <identity value="rim"/> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/> </mapping> <mapping> <identity value="servd"/> <map value="Identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="MedicationRequest.subject.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="MedicationRequest.subject.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.encounter"> <path value="MedicationRequest.encounter"/> <short value="Encounter created as part of encounter/admission/stay"/> <definition value="The Encounter during which this [x] was created or to which the creation of this record is tightly associated."/> <comment value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.context"/> </mapping> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="v2"/> <map value="PV1-19-Visit Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]"/> </mapping> </element> <element id="MedicationRequest.supportingInformation"> <path value="MedicationRequest.supportingInformation"/> <short value="Information to support ordering of the medication"/> <definition value="Include additional information (for example, patient height and weight) that supports the ordering of the medication."/> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.supportingInformation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.supportingInfo"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"/> </mapping> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn"/> <short value="Issue Date"/> <definition value="Issue Date of the Prescription"/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.authoredOn"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.authoredOn"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/WrittenDate"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"/> </mapping> <mapping> <identity value="rim"/> <map value="author.time"/> </mapping> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester"/> <short value="Who/What requested the Request"/> <definition value="The individual, organization, or device that initiated the request and has responsibility for its activation."/> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.requester"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.requester"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> </element> <element id="MedicationRequest.performer"> <path value="MedicationRequest.performer"/> <short value="Intended performer of administration"/> <definition value="The specified desired performer of the medication treatment (e.g. the performer of the medication administration)."/> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.performer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.performer"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> </mapping> </element> <element id="MedicationRequest.performerType"> <path value="MedicationRequest.performerType"/> <short value="Desired kind of performer of the medication administration"/> <definition value="Indicates the type of performer of the administration of the medication."/> <comment value="If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.performerType"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestPerformerType"/> </extension> <strength value="example"/> <description value="Identifies the type of individual that is desired to administer the medication."/> <valueSet value="http://hl7.org/fhir/ValueSet/performer-role"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.performerType"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"/> </mapping> </element> <element id="MedicationRequest.recorder"> <path value="MedicationRequest.recorder"/> <short value="Person who entered the request"/> <definition value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.recorder"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.who"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"/> </mapping> </element> <element id="MedicationRequest.reasonCode"> <path value="MedicationRequest.reasonCode"/> <short value="Reason or indication for ordering or not ordering the medication"/> <definition value="The reason or the indication for ordering or not ordering the medication."/> <comment value="This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.reasonCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestReason"/> </extension> <strength value="example"/> <description value="A coded concept indicating why the medication was ordered."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.reasonCode"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication"/> </mapping> <mapping> <identity value="rim"/> <map value="reason.observation.reasonCode"/> </mapping> </element> <element id="MedicationRequest.reasonReference"> <path value="MedicationRequest.reasonReference"/> <short value="Condition or observation that supports why the prescription is being written"/> <definition value="Condition or observation that supports why the medication was ordered."/> <comment value="This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.reasonReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.reasonReference"/> </mapping> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> <mapping> <identity value="rim"/> <map value="reason.observation[code=ASSERTION].value"/> </mapping> </element> <element id="MedicationRequest.instantiatesCanonical"> <path value="MedicationRequest.instantiatesCanonical"/> <short value="Instantiates FHIR protocol or definition"/> <definition value="The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest."/> <comment value="see [Canonical References](http://hl7.org/fhir/R4/references.html#canonical)"/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.instantiatesCanonical"/> <min value="0"/> <max value="*"/> </base> <type> <code value="canonical"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.instantiates"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target"/> </mapping> </element> <element id="MedicationRequest.instantiatesUri"> <path value="MedicationRequest.instantiatesUri"/> <short value="Instantiates external protocol or definition"/> <definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest."/> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.instantiatesUri"/> <min value="0"/> <max value="*"/> </base> <type> <code value="uri"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target"/> </mapping> </element> <element id="MedicationRequest.basedOn"> <path value="MedicationRequest.basedOn"/> <short value="What request fulfills"/> <definition value="A plan or request that is fulfilled in whole or in part by this medication request."/> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.basedOn"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"/> </mapping> </element> <element id="MedicationRequest.groupIdentifier"> <path value="MedicationRequest.groupIdentifier"/> <short value="Composite request this is part of"/> <definition value="A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription."/> <requirements value="Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.groupIdentifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/> </mapping> <mapping> <identity value="rim"/> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/> </mapping> <mapping> <identity value="servd"/> <map value="Identifier"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.groupIdentifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"/> </mapping> </element> <element id="MedicationRequest.courseOfTherapyType"> <path value="MedicationRequest.courseOfTherapyType"/> <short value="Overall pattern of medication administration"/> <definition value="The description of the overall patte3rn of the administration of the medication to the patient."/> <comment value="This attribute should not be confused with the protocol of the medication."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.courseOfTherapyType"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestCourseOfTherapy"/> </extension> <strength value="example"/> <description value="Identifies the overall pattern of medication administratio."/> <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="rim"/> <map value="Act.code where classCode = LIST and moodCode = EVN"/> </mapping> </element> <element id="MedicationRequest.insurance"> <path value="MedicationRequest.insurance"/> <short value="Associated insurance coverage"/> <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service."/> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.insurance"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.insurance"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COVBY].target"/> </mapping> </element> <element id="MedicationRequest.note"> <path value="MedicationRequest.note"/> <short value="Information about the prescription"/> <definition value="Extra information about the prescription that could not be conveyed by the other attributes."/> <comment value="For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible)."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.note"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Note"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value"/> </mapping> </element> <element id="MedicationRequest.note.id"> <path value="MedicationRequest.note.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.note.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.note.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.note.author[x]"> <path value="MedicationRequest.note.author[x]"/> <short value="Individual responsible for the annotation"/> <definition value="The individual responsible for making the annotation."/> <comment value="Organization is used when there's no need for specific attribution as to who made the comment."/> <min value="0"/> <max value="1"/> <base> <path value="Annotation.author[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Act.participant[typeCode=AUT].role"/> </mapping> </element> <element id="MedicationRequest.note.time"> <path value="MedicationRequest.note.time"/> <short value="When the annotation was made"/> <definition value="Indicates when this particular annotation was made."/> <min value="0"/> <max value="1"/> <base> <path value="Annotation.time"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Act.effectiveTime"/> </mapping> </element> <element id="MedicationRequest.note.text"> <path value="MedicationRequest.note.text"/> <short value="Dispensing Note"/> <definition value="Instructions to the pharmacy that go beyond the dosage information"/> <comment value="Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/"/> <min value="1"/> <max value="1"/> <base> <path value="Annotation.text"/> <min value="1"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Act.text"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction"/> <short value="Hier werden Informationen zur Dosierung angegeben."/> <definition value="Hier werden Informationen zur Dosierung angegeben."/> <comment value="There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dosageInstruction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Dosage"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.occurrence[x]"/> </mapping> <mapping> <identity value="rim"/> <map value="see dosageInstruction mapping"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.id"> <path value="MedicationRequest.dosageInstruction.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.dosageInstruction.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.modifierExtension"> <path value="MedicationRequest.dosageInstruction.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.sequence"> <path value="MedicationRequest.dosageInstruction.sequence"/> <short value="The order of the dosage instructions"/> <definition value="Indicates the order in which the dosage instructions should be applied or interpreted."/> <comment value="32 bit number; for values larger than this, use decimal"/> <requirements value="If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.sequence"/> <min value="0"/> <max value="1"/> </base> <type> <code value="integer"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="TQ1-1"/> </mapping> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.text"> <path value="MedicationRequest.dosageInstruction.text"/> <short value="Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden."/> <definition value="Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-6; RXE-21"/> </mapping> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.additionalInstruction"> <path value="MedicationRequest.dosageInstruction.additionalInstruction"/> <short value="Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness""/> <definition value="Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps")."/> <comment value="Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text."/> <requirements value="Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded."/> <min value="0"/> <max value="*"/> <base> <path value="Dosage.additionalInstruction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdditionalInstruction"/> </extension> <strength value="example"/> <description value="A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery"."/> <valueSet value="http://hl7.org/fhir/ValueSet/additional-instruction-codes"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-7"/> </mapping> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.patientInstruction"> <path value="MedicationRequest.dosageInstruction.patientInstruction"/> <short value="Instructions for Use"/> <definition value="Instructions for Use"/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.patientInstruction"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-7"/> </mapping> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.timing"> <path value="MedicationRequest.dosageInstruction.timing"/> <short value="When medication should be administered"/> <definition value="When medication should be administered."/> <comment value="This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing."/> <requirements value="The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.timing"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Timing"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="QSET<TS> (GTS)"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.asNeeded[x]"> <path value="MedicationRequest.dosageInstruction.asNeeded[x]"/> <short value="Take "as needed" (for x)"/> <definition value="Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept)."/> <comment value="Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed"."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.asNeeded[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAsNeededReason"/> </extension> <strength value="example"/> <description value="A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc."/> <valueSet value="http://hl7.org/fhir/ValueSet/medication-as-needed-reason"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="TQ1-9"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.site"> <path value="MedicationRequest.dosageInstruction.site"/> <short value="Body site to administer to"/> <definition value="Body site to administer to."/> <comment value="If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both."/> <requirements value="A coded specification of the anatomic site where the medication first enters the body."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.site"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationSite"/> </extension> <strength value="example"/> <description value="A coded concept describing the site location the medicine enters into or onto the body."/> <valueSet value="http://hl7.org/fhir/ValueSet/approach-site-codes"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="RXR-2"/> </mapping> <mapping> <identity value="rim"/> <map value=".approachSiteCode"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.route"> <path value="MedicationRequest.dosageInstruction.route"/> <short value="How drug should enter body"/> <definition value="How drug should enter body."/> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/> <requirements value="A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.route"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RouteOfAdministration"/> </extension> <strength value="example"/> <description value="A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject."/> <valueSet value="http://hl7.org/fhir/ValueSet/route-codes"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="RXR-1"/> </mapping> <mapping> <identity value="rim"/> <map value=".routeCode"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.method"> <path value="MedicationRequest.dosageInstruction.method"/> <short value="Technique for administering medication"/> <definition value="Technique for administering medication."/> <comment value="Terminologies used often pre-coordinate this term with the route and or form of administration."/> <requirements value="A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.method"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationMethod"/> </extension> <strength value="example"/> <description value="A coded concept describing the technique by which the medicine is administered."/> <valueSet value="http://hl7.org/fhir/ValueSet/administration-method-codes"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="RXR-4"/> </mapping> <mapping> <identity value="rim"/> <map value=".doseQuantity"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate"> <path value="MedicationRequest.dosageInstruction.doseAndRate"/> <short value="Amount of medication administered"/> <definition value="The amount of medication administered."/> <min value="0"/> <max value="*"/> <base> <path value="Dosage.doseAndRate"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Element"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="TQ1-2"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.id"> <path value="MedicationRequest.dosageInstruction.doseAndRate.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.dosageInstruction.doseAndRate.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.type"> <path value="MedicationRequest.dosageInstruction.doseAndRate.type"/> <short value="The kind of dose or rate specified"/> <definition value="The kind of dose or rate specified, for example, ordered or calculated."/> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/> <requirements value="If the type is not populated, assume to be "ordered"."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.doseAndRate.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DoseAndRateType"/> </extension> <strength value="example"/> <description value="The kind of dose or rate specified."/> <valueSet value="http://hl7.org/fhir/ValueSet/dose-rate-type"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-21; RXE-23"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x]"> <path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x]"/> <short value="Amount of medication per dose"/> <definition value="Amount of medication per dose."/> <comment value="Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours."/> <requirements value="The amount of therapeutic or other substance given at one administration event."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.doseAndRate.dose[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Range"/> </type> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-2, RXE-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".doseQuantity"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.rate[x]"> <path value="MedicationRequest.dosageInstruction.doseAndRate.rate[x]"/> <short value="Amount of medication per unit of time"/> <definition value="Amount of medication per unit of time."/> <comment value="It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour."/> <requirements value="Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.doseAndRate.rate[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <type> <code value="Range"/> </type> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE22, RXE23, RXE-24"/> </mapping> <mapping> <identity value="rim"/> <map value=".rateQuantity"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerPeriod"> <path value="MedicationRequest.dosageInstruction.maxDosePerPeriod"/> <short value="Upper limit on medication per unit of time"/> <definition value="Upper limit on medication per unit of time."/> <comment value="This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day"."/> <requirements value="The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.maxDosePerPeriod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="rat-1"/> <severity value="error"/> <human value="Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present"/> <expression value="(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())"/> <xpath value="(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))"/> <source value="http://hl7.org/fhir/StructureDefinition/SubstanceSpecification"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="RTO"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-23, RXE-19"/> </mapping> <mapping> <identity value="rim"/> <map value=".maxDoseQuantity"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerAdministration"> <path value="MedicationRequest.dosageInstruction.maxDosePerAdministration"/> <short value="Upper limit on medication per administration"/> <definition value="Upper limit on medication per administration."/> <comment value="This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg."/> <requirements value="The maximum total quantity of a therapeutic substance that may be administered to a subject per administration."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.maxDosePerAdministration"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <constraint> <key value="sqty-1"/> <severity value="error"/> <human value="The comparator is not used on a SimpleQuantity"/> <expression value="comparator.empty()"/> <xpath value="not(exists(f:comparator))"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value="not supported"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerLifetime"> <path value="MedicationRequest.dosageInstruction.maxDosePerLifetime"/> <short value="Upper limit on medication per lifetime of the patient"/> <definition value="Upper limit on medication per lifetime of the patient."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <requirements value="The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject."/> <min value="0"/> <max value="1"/> <base> <path value="Dosage.maxDosePerLifetime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <constraint> <key value="sqty-1"/> <severity value="error"/> <human value="The comparator is not used on a SimpleQuantity"/> <expression value="comparator.empty()"/> <xpath value="not(exists(f:comparator))"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value="not supported"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest"/> <short value="Medication supply authorization"/> <definition value="Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/ExpirationDate"/> </mapping> <mapping> <identity value="rim"/> <map value="component.supplyEvent"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.id"> <path value="MedicationRequest.dispenseRequest.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.dispenseRequest.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.modifierExtension"> <path value="MedicationRequest.dispenseRequest.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.initialFill"> <path value="MedicationRequest.dispenseRequest.initialFill"/> <short value="First fill details"/> <definition value="Indicates the quantity or duration for the first dispense of the medication."/> <comment value="If populating this element, either the quantity or the duration must be included."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.initialFill"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.initialFill.id"> <path value="MedicationRequest.dispenseRequest.initialFill.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.initialFill.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.dispenseRequest.initialFill.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.initialFill.modifierExtension"> <path value="MedicationRequest.dispenseRequest.initialFill.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.initialFill.quantity"> <path value="MedicationRequest.dispenseRequest.initialFill.quantity"/> <short value="First fill quantity"/> <definition value="The amount or quantity to provide as part of the first dispense."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.initialFill.quantity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <constraint> <key value="sqty-1"/> <severity value="error"/> <human value="The comparator is not used on a SimpleQuantity"/> <expression value="comparator.empty()"/> <xpath value="not(exists(f:comparator))"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value="Supply.quantity[moodCode=RQO]"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.initialFill.duration"> <path value="MedicationRequest.dispenseRequest.initialFill.duration"/> <short value="First fill duration"/> <definition value="The length of time that the first dispense is expected to last."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.initialFill.duration"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Duration"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <constraint> <key value="drt-1"/> <severity value="error"/> <human value="There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM."/> <expression value="code.exists() implies ((system = %ucum) and value.exists())"/> <xpath value="(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')"/> <source value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-time-units"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DurationUnits"/> </extension> <strength value="extensible"/> <description value="Appropriate units for Duration."/> <valueSet value="http://hl7.org/fhir/ValueSet/duration-units"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ> depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value="Supply.effectivetime[moodCode=RQO]"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.dispenseInterval"> <path value="MedicationRequest.dispenseRequest.dispenseInterval"/> <short value="Minimum period of time between dispenses"/> <definition value="The minimum period of time that must occur between dispenses of the medication."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.dispenseInterval"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Duration"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <constraint> <key value="drt-1"/> <severity value="error"/> <human value="There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM."/> <expression value="code.exists() implies ((system = %ucum) and value.exists())"/> <xpath value="(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')"/> <source value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-time-units"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DurationUnits"/> </extension> <strength value="extensible"/> <description value="Appropriate units for Duration."/> <valueSet value="http://hl7.org/fhir/ValueSet/duration-units"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ> depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value="Supply.effectivetime[moodCode=RQO]"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.validityPeriod"> <path value="MedicationRequest.dispenseRequest.validityPeriod"/> <short value="Time period supply is authorized for"/> <definition value="This indicates the validity period of a prescription (stale dating the Prescription)."/> <comment value="It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations."/> <requirements value="Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.validityPeriod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="per-1"/> <severity value="error"/> <human value="If present, start SHALL have a lower value than end"/> <expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)"/> <xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))"/> <source value="http://hl7.org/fhir/StructureDefinition/Library"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="DR"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Refills"/> </mapping> <mapping> <identity value="rim"/> <map value="effectiveTime"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/> <short value="Number of refills authorized"/> <definition value="An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense."/> <comment value="If displaying "number of authorized fills", add 1 to this number."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/> <min value="0"/> <max value="1"/> </base> <type> <code value="unsignedInt"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Quantity"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-12-Number of Refills"/> </mapping> <mapping> <identity value="rim"/> <map value="repeatNumber"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity"/> <short value="Amount of medication to supply per dispense"/> <definition value="The amount that is to be dispensed for one fill."/> <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.quantity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <constraint> <key value="sqty-1"/> <severity value="error"/> <human value="The comparator is not used on a SimpleQuantity"/> <expression value="comparator.empty()"/> <xpath value="not(exists(f:comparator))"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/DaysSupply"/> </mapping> <mapping> <identity value="v2"/> <map value="RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"/> </mapping> <mapping> <identity value="rim"/> <map value="quantity"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity.id"> <path value="MedicationRequest.dispenseRequest.quantity.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.dispenseRequest.quantity.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity.value"> <path value="MedicationRequest.dispenseRequest.quantity.value"/> <short value="Number of Prescribed Packages"/> <definition value="Number of Prescribed Packages"/> <comment value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)."/> <requirements value="Precision is handled implicitly in almost all cases of measurement."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.2 / CQ - N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity.comparator"> <path value="MedicationRequest.dispenseRequest.quantity.comparator"/> <short value="< | <= | >= | > - how to understand the value"/> <definition value="Not allowed to be used in this context"/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology."/> <min value="0"/> <max value="0"/> <base> <path value="Quantity.comparator"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuantityComparator"/> </extension> <strength value="required"/> <description value="How the Quantity should be understood and represented."/> <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN.1 / CQ.1"/> </mapping> <mapping> <identity value="rim"/> <map value="IVL properties"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity.unit"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="MedicationRequest.dispenseRequest.quantity.unit"/> <short value="Unit representation"/> <definition value="A human-readable form of the unit."/> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size"/> <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/> <min value="0"/> <max value="1"/> <base> <path value="Quantity.unit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.unit"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity.system"> <path value="MedicationRequest.dispenseRequest.quantity.system"/> <short value="System that defines coded unit form"/> <definition value="The identification of the system that provides the coded form of the unit."/> <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/> <requirements value="Need to know the system that defines the coded form of the unit."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <patternUri value="http://unitsofmeasure.org"/> <condition value="ele-1"/> <condition value="qty-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="CO.codeSystem, PQ.translation.codeSystem"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity.code"> <path value="MedicationRequest.dispenseRequest.quantity.code"/> <short value="Coded form of the unit"/> <definition value="A computer processable form of the unit in some unit representation system."/> <comment value="The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system."/> <requirements value="Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest."/> <min value="1"/> <max value="1"/> <base> <path value="Quantity.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <patternCode value="{Package}"/> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="(see OBX.6 etc.) / CQ.2"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ.code, MO.currency, PQ.translation.code"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.expectedSupplyDuration"> <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration"/> <short value="Number of days supply per dispense"/> <definition value="Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last."/> <comment value="In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Duration"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qty-3"/> <severity value="error"/> <human value="If a code for the unit is present, the system SHALL also be present"/> <expression value="code.empty() or system.exists()"/> <xpath value="not(exists(f:code)) or exists(f:system)"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <constraint> <key value="drt-1"/> <severity value="error"/> <human value="There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM."/> <expression value="code.exists() implies ((system = %ucum) and value.exists())"/> <xpath value="(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')"/> <source value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-time-units"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DurationUnits"/> </extension> <strength value="extensible"/> <description value="Appropriate units for Duration."/> <valueSet value="http://hl7.org/fhir/ValueSet/duration-units"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="SN (see also Range) or CQ"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ>, MO, CO, depending on the values"/> </mapping> <mapping> <identity value="rim"/> <map value="PQ, IVL<PQ> depending on the values"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Substitutions"/> </mapping> <mapping> <identity value="rim"/> <map value="expectedUseTime"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.performer"> <path value="MedicationRequest.dispenseRequest.performer"/> <short value="Intended dispenser"/> <definition value="Indicates the intended dispensing Organization specified by the prescriber."/> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.performer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.who"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> </mapping> </element> <element id="MedicationRequest.substitution"> <path value="MedicationRequest.substitution"/> <short value="Any restrictions on medication substitution"/> <definition value="Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.substitution"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/> </mapping> <mapping> <identity value="rim"/> <map value="subjectOf.substitutionPersmission"/> </mapping> </element> <element id="MedicationRequest.substitution.id"> <path value="MedicationRequest.substitution.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.substitution.extension"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="MedicationRequest.substitution.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.substitution.modifierExtension"> <path value="MedicationRequest.substitution.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.substitution.allowed[x]"> <path value="MedicationRequest.substitution.allowed[x]"/> <short value="Whether substitution is allowed or not"/> <definition value="True if the prescriber allows a different drug to be dispensed from what was prescribed."/> <comment value="This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.substitution.allowed[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="script10.6"/> <map value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-9-Allow Substitutions / RXE-9-Substitution Status"/> </mapping> <mapping> <identity value="rim"/> <map value="code"/> </mapping> </element> <element id="MedicationRequest.substitution.reason"> <path value="MedicationRequest.substitution.reason"/> <short value="Why should (not) substitution be made"/> <definition value="Indicates the reason for the substitution, or why substitution must or must not be performed."/> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.substitution.reason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationIntendedSubstitutionReason"/> </extension> <strength value="example"/> <description value="A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed."/> <valueSet value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> <mapping> <identity value="script10.6"/> <map value="not mapped"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-9 Substition status"/> </mapping> <mapping> <identity value="rim"/> <map value="reasonCode"/> </mapping> </element> <element id="MedicationRequest.priorPrescription"> <path value="MedicationRequest.priorPrescription"/> <short value="An order/prescription that is being replaced"/> <definition value="A link to a resource representing an earlier order related order or prescription."/> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.priorPrescription"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.replaces"/> </mapping> <mapping> <identity value="script10.6"/> <map value="not mapped"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"/> </mapping> </element> <element id="MedicationRequest.detectedIssue"> <path value="MedicationRequest.detectedIssue"/> <short value="Clinical Issue with action"/> <definition value="Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc."/> <comment value="This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue."/> <alias value="Contraindication"/> <alias value="Drug Utilization Review (DUR)"/> <alias value="Alert"/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.detectedIssue"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"/> </mapping> </element> <element id="MedicationRequest.eventHistory"> <path value="MedicationRequest.eventHistory"/> <short value="A list of events of interest in the lifecycle"/> <definition value="Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource."/> <comment value="This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.)."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.eventHistory"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ref-1"/> <severity value="error"/> <human value="SHALL have a contained resource if a local reference is provided"/> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))"/> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Observation"/> </constraint> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="rim"/> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/> </mapping> <mapping> <identity value="workflow"/> <map value="Request.relevantHistory"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/> </mapping> </element> </snapshot> <differential> <element id="MedicationRequest"> <path value="MedicationRequest"/> </element> <element id="MedicationRequest.meta"> <path value="MedicationRequest.meta"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.meta.versionId"> <path value="MedicationRequest.meta.versionId"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.meta.lastUpdated"> <path value="MedicationRequest.meta.lastUpdated"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription"> <path value="MedicationRequest.extension"/> <sliceName value="multiplePrescription"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"/> </type> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:indicator"> <path value="MedicationRequest.extension.extension"/> <sliceName value="indicator"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:indicator.value[x]"> <path value="MedicationRequest.extension.extension.value[x]"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter"> <path value="MedicationRequest.extension.extension"/> <sliceName value="counter"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x]"> <path value="MedicationRequest.extension.extension.value[x]"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator"> <path value="MedicationRequest.extension.extension.value[x].numerator"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.value"> <path value="MedicationRequest.extension.extension.value[x].numerator.value"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator"> <path value="MedicationRequest.extension.extension.value[x].denominator"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.value"> <path value="MedicationRequest.extension.extension.value[x].denominator.value"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period"> <path value="MedicationRequest.extension.extension"/> <sliceName value="period"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x]"> <path value="MedicationRequest.extension.extension.value[x]"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x].start"> <path value="MedicationRequest.extension.extension.value[x].start"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:period.value[x].end"> <path value="MedicationRequest.extension.extension.value[x].end"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id"> <path value="MedicationRequest.extension.extension"/> <sliceName value="id"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x]"> <path value="MedicationRequest.extension.extension.value[x]"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].system"> <path value="MedicationRequest.extension.extension.value[x].system"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:multiplePrescription.extension:id.value[x].value"> <path value="MedicationRequest.extension.extension.value[x].value"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:isBvg"> <path value="MedicationRequest.extension"/> <sliceName value="isBvg"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension"/> </type> <mustSupport value="true"/> </element> <element id="MedicationRequest.extension:isBvg.value[x]"> <path value="MedicationRequest.extension.value[x]"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier"/> <slicing> <discriminator> <type value="pattern"/> <path value="$this"/> </discriminator> <description value="ePrescription identifier and overall transaction identifier"/> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element id="MedicationRequest.identifier:RxPrescriptionProcessIdentifier"> <path value="MedicationRequest.identifier"/> <sliceName value="RxPrescriptionProcessIdentifier"/> <min value="0"/> <max value="1"/> <type> <code value="Identifier"/> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier"/> </type> <patternIdentifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"/> </patternIdentifier> </element> <element id="MedicationRequest.identifier:RxOriginatorProcessIdentifier"> <path value="MedicationRequest.identifier"/> <sliceName value="RxOriginatorProcessIdentifier"/> <min value="0"/> <max value="1"/> <type> <code value="Identifier"/> <profile value="https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier"/> </type> <patternIdentifier> <system value="https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"/> </patternIdentifier> </element> <element id="MedicationRequest.status"> <path value="MedicationRequest.status"/> <short value="Status of Medication Request"/> <binding> <strength value="required"/> <valueSet value="https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs"/> </binding> </element> <element id="MedicationRequest.intent"> <path value="MedicationRequest.intent"/> <short value="filler-order"/> <definition value="e.g. when data is synchronized with the E-Rezept-Fachdienst, the 'filler-order' code should be used here."/> <mustSupport value="true"/> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> </type> <mustSupport value="true"/> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <mustSupport value="true"/> </element> <element id="MedicationRequest.subject.identifier"> <path value="MedicationRequest.subject.identifier"/> <min value="1"/> <type> <code value="Identifier"/> <profile value="http://fhir.de/StructureDefinition/identifier-kvid-10"/> </type> <mustSupport value="true"/> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn"/> <short value="Issue Date"/> <definition value="Issue Date of the Prescription"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> </type> <mustSupport value="true"/> </element> <element id="MedicationRequest.note"> <path value="MedicationRequest.note"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.note.text"> <path value="MedicationRequest.note.text"/> <short value="Dispensing Note"/> <definition value="Instructions to the pharmacy that go beyond the dosage information"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction"/> <short value="Hier werden Informationen zur Dosierung angegeben."/> <definition value="Hier werden Informationen zur Dosierung angegeben."/> <max value="1"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.dosageInstruction.text"> <path value="MedicationRequest.dosageInstruction.text"/> <short value="Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden."/> <definition value="Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden."/> <mustSupport value="true"/> </element> <element id="MedicationRequest.dosageInstruction.patientInstruction"> <path value="MedicationRequest.dosageInstruction.patientInstruction"/> <short value="Instructions for Use"/> <definition value="Instructions for Use"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.dispenseRequest.quantity.value"> <path value="MedicationRequest.dispenseRequest.quantity.value"/> <short value="Number of Prescribed Packages"/> <definition value="Number of Prescribed Packages"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.dispenseRequest.quantity.system"> <path value="MedicationRequest.dispenseRequest.quantity.system"/> <min value="1"/> <patternUri value="http://unitsofmeasure.org"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.dispenseRequest.quantity.code"> <path value="MedicationRequest.dispenseRequest.quantity.code"/> <min value="1"/> <patternCode value="{Package}"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.substitution"> <path value="MedicationRequest.substitution"/> <mustSupport value="true"/> </element> <element id="MedicationRequest.substitution.allowed[x]"> <path value="MedicationRequest.substitution.allowed[x]"/> <type> <code value="boolean"/> </type> <mustSupport value="true"/> </element> </differential> </StructureDefinition> ( src )
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "example-get-medication-list-bundle1"] ; # fhir:identifier [ fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ; fhir:value [ fhir:v "urn:uuid:9e1f5895-ab0b-4237-856d-fa1065631400" ] ] ; # fhir:type [ fhir:v "searchset"] ; # fhir:timestamp [ fhir:v "2025-01-01T00:00:00Z"^^xsd:dateTime] ; # fhir:total [ fhir:v "16"^^xsd:nonNegativeInteger] ; # fhir:link ( [ fhir:relation [ fhir:v "self" ] ; fhir:url [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=0"^^xsd:anyURI ] ] [ fhir:relation [ fhir:v "first" ] ; fhir:url [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=0"^^xsd:anyURI ] ] [ fhir:relation [ fhir:v "next" ] ; fhir:url [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=10"^^xsd:anyURI ] ] [ fhir:relation [ fhir:v "last" ] ; fhir:url [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=10"^^xsd:anyURI ] ] ) ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12"^^xsd:anyURI ] ; ( fhir:resource <http://epa4all/epa/medication/api/v1/fhir/Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12> ) ] [ fhir:fullUrl [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/ebdd8651-3971-4ecc-b651-8e54083b0339"^^xsd:anyURI ] ; ( fhir:resource <http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/ebdd8651-3971-4ecc-b651-8e54083b0339> ) ] [ fhir:fullUrl [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/MedicationDispense/158311c5-c2da-4e2a-ac0b-0d54c9fe419c"^^xsd:anyURI ] ; ( fhir:resource <http://epa4all/epa/medication/api/v1/fhir/MedicationDispense/158311c5-c2da-4e2a-ac0b-0d54c9fe419c> ) ] [ fhir:fullUrl [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/PractitionerRole/73a551f8-d8cd-4b44-823d-ab5f8aeab1aa"^^xsd:anyURI ] ; ( fhir:resource <http://epa4all/epa/medication/api/v1/fhir/PractitionerRole/73a551f8-d8cd-4b44-823d-ab5f8aeab1aa> ) ] [ fhir:fullUrl [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/Organization/be51e0d2-783d-4e21-b16b-1a4cd7403515"^^xsd:anyURI ] ; ( fhir:resource <http://epa4all/epa/medication/api/v1/fhir/Organization/be51e0d2-783d-4e21-b16b-1a4cd7403515> ) ] [ fhir:fullUrl [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c"^^xsd:anyURI ] ; ( fhir:resource <http://epa4all/epa/medication/api/v1/fhir/Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c> ) ] [ fhir:fullUrl [ fhir:v "http://epa4all/epa/medication/api/v1/fhir/Organization/151f1697-7512-4e21-9466-1b75207475d8"^^xsd:anyURI ] ; ( fhir:resource <http://epa4all/epa/medication/api/v1/fhir/Organization/151f1697-7512-4e21-9466-1b75207475d8> ) ] ) . # <http://epa4all/epa/medication/api/v1/fhir/Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12> a fhir:Medication ; fhir:id [ fhir:v "2d5a0317-b2df-4d7b-ad72-07f5f66f9f12"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication> ] ) ] ; # fhir:extension ( [ fhir:url [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension"^^xsd:anyURI ] ; fhir:value [ a fhir:Identifier ; fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"^^xsd:anyURI ] ; fhir:value [ fhir:v "160.153.303.260.460_202508220" ] ] ] ) ; # fhir:identifier ( [ fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier"^^xsd:anyURI ] ; fhir:value [ fhir:v "48E951DFE10F5669D3C66D581E5767DE32CFD788C94693E5C78193DB2D3F095B" ] ] [ fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"^^xsd:anyURI ] ; fhir:value [ fhir:v "5a2a0f6c-b1d9-46b9-b377-c61586d1aa1e_160.153.303.260.460" ] ] ) ; # fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/ifa/pzn"^^xsd:anyURI ] ; fhir:code [ fhir:v "03953522" ] ; fhir:display [ fhir:v "Metoprolol-ratiopharm® 100 mg Tabletten" ] ] [ a sct:7092007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "7092007" ] ; fhir:display [ fhir:v "Product containing metoprolol (medicinal product)" ] ] [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/bfarm/atc"^^xsd:anyURI ] ; fhir:version [ fhir:v "2022" ] ; fhir:code [ fhir:v "C07AB02" ] ; fhir:display [ fhir:v "Metoprolol" ] ] ) ] ; # fhir:status [ fhir:v "active"] ; # fhir:form [ ( fhir:coding [ fhir:system [ fhir:v "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"^^xsd:anyURI ] ; fhir:version [ fhir:v "1.10" ] ; fhir:code [ fhir:v "TAB" ] ; fhir:display [ fhir:v "Tabletten" ] ] [ a sct:385055001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "385055001" ] ; fhir:display [ fhir:v "Tablet (basic dose form)" ] ] [ fhir:system [ fhir:v "http://standardterms.edqm.eu"^^xsd:anyURI ] ; fhir:code [ fhir:v "12200" ] ; fhir:display [ fhir:v "Tablet" ] ] ) ] ; # fhir:amount [ fhir:numerator [ fhir:value [ fhir:v "100"^^xsd:decimal ] ; fhir:unit [ fhir:v "MilliGram" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mg" ] ] ; fhir:denominator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:unit [ fhir:v "Tablet" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{Tablet}" ] ] ] . # <http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/ebdd8651-3971-4ecc-b651-8e54083b0339> a fhir:MedicationRequest ; fhir:id [ fhir:v "ebdd8651-3971-4ecc-b651-8e54083b0339"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request> ] ) ] ; # fhir:extension ( [ ( fhir:extension [ fhir:url [ fhir:v "indicator"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v false ] ] ) ; fhir:url [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"^^xsd:anyURI ] ] ) ; # fhir:identifier ( [ fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"^^xsd:anyURI ] ; fhir:value [ fhir:v "160.153.303.257.459_20250122" ] ] [ fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"^^xsd:anyURI ] ; fhir:value [ fhir:v "6ae6a7ca-c9b5-46bf-9411-2ba49d96f988_160.153.303.257.459" ] ] ) ; # fhir:status [ fhir:v "completed"] ; # fhir:intent [ fhir:v "order"] ; # fhir:medication [ a fhir:Reference ; fhir:reference [ fhir:v "Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12" ] ] ; # fhir:subject [ fhir:identifier [ fhir:system [ fhir:v "http://fhir.de/sid/gkv/kvid-10"^^xsd:anyURI ] ; fhir:value [ fhir:v "X110411319" ] ] ] ; # fhir:authoredOn [ fhir:v "2025-08-22"^^xsd:date] ; # fhir:requester [ fhir:reference [ fhir:v "Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c" ] ] ; # fhir:dosageInstruction ( [ fhir:text [ fhir:v "1-1-1-0" ] ] ) ; # fhir:dispenseRequest [ fhir:quantity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{Package}" ] ] ] ; # fhir:substitution [ fhir:allowed [ a fhir:boolean ; fhir:v false ] ] . # <http://epa4all/epa/medication/api/v1/fhir/MedicationDispense/158311c5-c2da-4e2a-ac0b-0d54c9fe419c> a fhir:MedicationDispense ; fhir:id [ fhir:v "158311c5-c2da-4e2a-ac0b-0d54c9fe419c"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense> ] ) ] ; # fhir:extension ( [ fhir:url [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension"^^xsd:anyURI ] ; fhir:value [ a fhir:Identifier ; fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"^^xsd:anyURI ] ; fhir:value [ fhir:v "160.153.303.260.460_202508220" ] ] ] ) ; # fhir:identifier ( [ fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"^^xsd:anyURI ] ; fhir:value [ fhir:v "014e141a-df43-447c-927e-9d83ef7eddb3_160.153.303.260.460" ] ] ) ; # fhir:status [ fhir:v "completed"] ; # fhir:medication [ a fhir:Reference ; fhir:reference [ fhir:v "Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12" ] ] ; # fhir:subject [ fhir:identifier [ fhir:system [ fhir:v "http://fhir.de/sid/gkv/kvid-10"^^xsd:anyURI ] ; fhir:value [ fhir:v "X110411319" ] ] ] ; # fhir:performer ( [ fhir:actor [ fhir:reference [ fhir:v "Organization/151f1697-7512-4e21-9466-1b75207475d8" ] ] ] ) ; # fhir:whenHandedOver [ fhir:v "2025-08-22"^^xsd:date] ; # fhir:dosageInstruction ( [ fhir:text [ fhir:v "1-0-0-0" ] ] ) ; # fhir:substitution [ fhir:wasSubstituted [ fhir:v false ] ] . # <http://epa4all/epa/medication/api/v1/fhir/PractitionerRole/73a551f8-d8cd-4b44-823d-ab5f8aeab1aa> a fhir:PractitionerRole ; fhir:id [ fhir:v "73a551f8-d8cd-4b44-823d-ab5f8aeab1aa"] ; # fhir:practitioner [ fhir:reference [ fhir:v "Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c" ] ; fhir:identifier [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:version [ fhir:v "2.9.0" ] ; fhir:code [ fhir:v "PRN" ] ; fhir:display [ fhir:v "Provider number" ] ] ) ] ; fhir:system [ fhir:v "https://gematik.de/fhir/sid/telematik-id"^^xsd:anyURI ] ; fhir:value [ fhir:v "1-1.58.00000040" ] ] ] ; # fhir:organization [ fhir:reference [ fhir:v "Organization/be51e0d2-783d-4e21-b16b-1a4cd7403515" ] ; fhir:identifier [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:version [ fhir:v "2.9.0" ] ; fhir:code [ fhir:v "PRN" ] ; fhir:display [ fhir:v "Provider number" ] ] ) ] ; fhir:system [ fhir:v "https://gematik.de/fhir/sid/telematik-id"^^xsd:anyURI ] ; fhir:value [ fhir:v "9-2.58.00000040" ] ] ] . # <http://epa4all/epa/medication/api/v1/fhir/Organization/be51e0d2-783d-4e21-b16b-1a4cd7403515> a fhir:Organization ; fhir:id [ fhir:v "be51e0d2-783d-4e21-b16b-1a4cd7403515"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory> ] ) ; ( fhir:tag [ fhir:system [ fhir:v "https://gematik.de/fhir/directory/CodeSystem/Origin"^^xsd:anyURI ] ; fhir:code [ fhir:v "ldap" ] ] ) ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://gematik.de/fhir/sid/telematik-id"^^xsd:anyURI ] ; fhir:value [ fhir:v "9-2.58.00000040" ] ] ) ; # fhir:active [ fhir:v true] ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID"^^xsd:anyURI ] ; fhir:code [ fhir:v "1.2.276.0.76.4.58" ] ; fhir:display [ fhir:v "Betriebsstätte gematik" ] ] ) ] ) ; # fhir:name [ fhir:v "gematik GmbH"] ; # fhir:alias ( [ fhir:v "gematik"] ) ; # fhir:address ( [ fhir:text [ fhir:v "gematik GmbH\nFriedrichstr. 136,\n10117 Berlin" ] ; ( fhir:line [ fhir:v "Friedrichstr. 136" ] ) ; fhir:city [ fhir:v "Berlin" ] ; fhir:district [ fhir:v "Mitte" ] ; fhir:state [ fhir:v "Berlin" ] ; fhir:postalCode [ fhir:v "10117" ] ; fhir:country [ fhir:v "DE" ] ] ) ; # fhir:contact ( [ fhir:purpose [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/contactentity-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "ADMIN" ] ] ) ] ; fhir:name [ fhir:text [ fhir:v "gematik ITSM" ] ] ; ( fhir:telecom [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "betrieb@gematik.de" ] ] ) ] ) . # <http://epa4all/epa/medication/api/v1/fhir/Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c> a fhir:Practitioner ; fhir:id [ fhir:v "498c345f-31f5-4da6-9f04-00fa2bc8af7c"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory> ] ) ; ( fhir:tag [ fhir:system [ fhir:v "https://gematik.de/fhir/directory/CodeSystem/Origin"^^xsd:anyURI ] ; fhir:code [ fhir:v "ldap" ] ] ) ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://gematik.de/fhir/sid/telematik-id"^^xsd:anyURI ] ; fhir:value [ fhir:v "1-1.58.00000040" ] ] [ fhir:system [ fhir:v "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR"^^xsd:anyURI ] ; fhir:value [ fhir:v "123456789" ] ] ) ; # fhir:active [ fhir:v true] ; # fhir:name ( [ fhir:text [ fhir:v "Dr. Max Manfred Mustermann" ] ; fhir:family [ fhir:v "Musterman" ] ; ( fhir:given [ fhir:v "Max" ] [ fhir:v "Manfred" ] ) ; ( fhir:prefix [ fhir:v "Dr." ] ) ] ) ; # fhir:qualification ( [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://gematik.de/fhir/directory/CodeSystem/PractitionerProfessionOID"^^xsd:anyURI ] ; fhir:code [ fhir:v "1.2.276.0.76.4.31" ] ] ) ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "urn:oid:1.2.276.0.76.5.514"^^xsd:anyURI ] ; fhir:code [ fhir:v "011001" ] ; fhir:display [ fhir:v "FA Allgemeinmedizin" ] ] ) ] ] [ fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "urn:oid:1.2.276.0.76.5.514"^^xsd:anyURI ] ; fhir:code [ fhir:v "141104" ] ; fhir:display [ fhir:v "FA Innere Medizin und Schwerpunkt Gastroenterologie" ] ] ) ] ] ) . # <http://epa4all/epa/medication/api/v1/fhir/Organization/151f1697-7512-4e21-9466-1b75207475d8> a fhir:Organization ; fhir:id [ fhir:v "151f1697-7512-4e21-9466-1b75207475d8"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory> ] ) ; ( fhir:tag [ fhir:system [ fhir:v "https://gematik.de/fhir/directory/CodeSystem/Origin"^^xsd:anyURI ] ; fhir:code [ fhir:v "ldap" ] ] ) ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://gematik.de/fhir/sid/telematik-id"^^xsd:anyURI ] ; fhir:value [ fhir:v "9-2.58.00000040" ] ] ) ; # fhir:active [ fhir:v true] ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID"^^xsd:anyURI ] ; fhir:code [ fhir:v "1.2.276.0.76.4.54" ] ; fhir:display [ fhir:v "Öffentliche Apotheke" ] ] ) ] ) ; # fhir:name [ fhir:v "gematik Apotheke"] ; # fhir:alias ( [ fhir:v "Apotheke"] ) ; # fhir:address ( [ fhir:text [ fhir:v "gematik Apotheke\nFriedrichstr. 136,\n10117 Berlin" ] ; ( fhir:line [ fhir:v "Friedrichstr. 136" ] ) ; fhir:city [ fhir:v "Berlin" ] ; fhir:district [ fhir:v "Mitte" ] ; fhir:state [ fhir:v "Berlin" ] ; fhir:postalCode [ fhir:v "10117" ] ; fhir:country [ fhir:v "DE" ] ] ) ; # fhir:contact ( [ fhir:purpose [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/contactentity-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "ADMIN" ] ] ) ] ; fhir:name [ fhir:text [ fhir:v "gematik ITSM" ] ] ; ( fhir:telecom [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "betrieb@gematik.de" ] ] ) ] ) . # ( src )
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Medication ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ExampleEPAMedicationMax"] ; # fhir:meta [ fhir:versionId [ fhir:v "1" ] ; fhir:lastUpdated [ fhir:v "2023-02-03T11:30:00+01:00"^^xsd:dateTime ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication> ] ) ] ; # fhir:extension ( [ fhir:url [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension"^^xsd:anyURI ] ; fhir:value [ a fhir:Coding, sct:373873005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "373873005" ] ; fhir:display [ fhir:v "Pharmaceutical / biologic product (product)" ] ] ] ) ; # fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/ifa/pzn"^^xsd:anyURI ] ; fhir:version [ fhir:v "1.5.0" ] ; fhir:code [ fhir:v "9717395" ] ; fhir:display [ fhir:v "Maaloxan® 25 mVal Sodbrennen Kautabletten Lemon" ] ] [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/bfarm/atc"^^xsd:anyURI ] ; fhir:code [ fhir:v "A02AD10" ] ; fhir:display [ fhir:v "Aluminiumoxid in Kombination mit Magnesiumhydroxid" ] ] [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/ask"^^xsd:anyURI ] ; fhir:code [ fhir:v "2250" ] ; fhir:display [ fhir:v "Magnesiumhydroxid" ] ] [ a sct:418673005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "418673005" ] ; fhir:display [ fhir:v "Product containing aluminium oxide (medicinal product)" ] ] ) ; fhir:text [ fhir:v "Maaloxan® 25 mVal Sodbrennen Kautabletten Lemon" ] ] ; # fhir:status [ fhir:v "active"] ; # fhir:manufacturer [ fhir:display [ fhir:v "Praxis Dr. med. Hans Topp-Glücklich" ] ] ; # fhir:form [ ( fhir:coding [ fhir:system [ fhir:v "http://standardterms.edqm.eu"^^xsd:anyURI ] ; fhir:code [ fhir:v "10228000" ] ; fhir:display [ fhir:v "Chewable tablet" ] ] [ fhir:system [ fhir:v "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM"^^xsd:anyURI ] ; fhir:code [ fhir:v "KTA" ] ; fhir:display [ fhir:v "Kautabletten" ] ] [ a sct:66076007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "66076007" ] ; fhir:display [ fhir:v "Conventional release chewable tablet (dose form)" ] ] ) ] ; # fhir:amount [ fhir:numerator [ fhir:value [ fhir:v "30"^^xsd:decimal ] ; fhir:unit [ fhir:v "Tabletten" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{Tabletten}" ] ] ; fhir:denominator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:unit [ fhir:v "Package" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{Package}" ] ] ] ; # fhir:ingredient ( [ fhir:item [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/ask"^^xsd:anyURI ] ; fhir:code [ fhir:v "2250" ] ; fhir:display [ fhir:v "Magnesiumhydroxid" ] ] [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/bfarm/atc"^^xsd:anyURI ] ; fhir:code [ fhir:v "A02AA04" ] ; fhir:display [ fhir:v "Magnesiumhydroxid" ] ] [ a sct:387337001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "387337001" ] ; fhir:display [ fhir:v "Magnesium hydroxide (substance)" ] ] ) ] ; fhir:strength [ fhir:numerator [ fhir:value [ fhir:v "400"^^xsd:decimal ] ; fhir:unit [ fhir:v "milligramm" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mg" ] ] ; fhir:denominator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:unit [ fhir:v "Tabletten" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{Tabletten}" ] ] ] ] [ fhir:item [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/ask"^^xsd:anyURI ] ; fhir:code [ fhir:v "1253" ] ; fhir:display [ fhir:v "Algeldrat" ] ] [ fhir:system [ fhir:v "http://fhir.de/CodeSystem/bfarm/atc"^^xsd:anyURI ] ; fhir:code [ fhir:v "A02AB01" ] ; fhir:display [ fhir:v "Aluminiumhydroxid" ] ] [ a sct:273944007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "273944007" ] ; fhir:display [ fhir:v "Aluminium hydroxide (substance)" ] ] ) ] ; fhir:strength [ fhir:numerator [ fhir:value [ fhir:v "400"^^xsd:decimal ] ; fhir:unit [ fhir:v "milligramm" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mg" ] ] ; fhir:denominator [ fhir:value [ fhir:v "1"^^xsd:decimal ] ; fhir:unit [ fhir:v "Tabletten" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{Tabletten}" ] ] ] ] ) . # ( src )
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:StructureDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "epa-medication-request"] ; # fhir:url [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request"^^xsd:anyURI] ; # fhir:version [ fhir:v "1.0.5-1"] ; # fhir:name [ fhir:v "EPAMedicationRequest"] ; # fhir:title [ fhir:v "EPA MedicationRequest"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v false] ; # fhir:date [ fhir:v "2025-02-28"^^xsd:date] ; # fhir:publisher [ fhir:v "gematik GmbH"] ; # fhir:contact ( [ fhir:name [ fhir:v "gematik GmbH" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://www.gematik.de" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "patientteam [ at ] gematik.de" ] ] ) ] ) ; # fhir:description [ fhir:v "Defines the medication request resource for the Medication Service in the ePA system."] ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ; fhir:code [ fhir:v "DE" ] ] ) ] ) ; # fhir:fhirVersion [ fhir:v "4.0.1"] ; # fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:uri [ fhir:v "http://hl7.org/fhir/workflow"^^xsd:anyURI ] ; fhir:name [ fhir:v "Workflow Pattern" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:uri [ fhir:v "http://ncpdp.org/SCRIPT10_6"^^xsd:anyURI ] ; fhir:name [ fhir:v "Mapping to NCPDP SCRIPT 10.6" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:uri [ fhir:v "http://hl7.org/v3"^^xsd:anyURI ] ; fhir:name [ fhir:v "RIM Mapping" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:uri [ fhir:v "http://hl7.org/fhir/fivews"^^xsd:anyURI ] ; fhir:name [ fhir:v "FiveWs Pattern Mapping" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:uri [ fhir:v "http://hl7.org/v2"^^xsd:anyURI ] ; fhir:name [ fhir:v "HL7 v2 Mapping" ] ] ) ; # fhir:kind [ fhir:v "resource"] ; # fhir:abstract [ fhir:v false] ; # fhir:type [ fhir:v "MedicationRequest"^^xsd:anyURI] ; # fhir:baseDefinition [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationRequest"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest> ] ; # fhir:derivation [ fhir:v "constraint"] ; # fhir:snapshot [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "4.0.1" ] ] ) ; ( fhir:element [ fhir:id [ fhir:v "MedicationRequest" ] ; fhir:path [ fhir:v "MedicationRequest" ] ; fhir:short [ fhir:v "Ordering of medication for patient or group" ] ; fhir:definition [ fhir:v "An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called \"MedicationRequest\" rather than \"MedicationPrescription\" or \"MedicationOrder\" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns." ] ; ( fhir:alias [ fhir:v "Prescription" ] [ fhir:v "Order" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:constraint [ fhir:key [ fhir:v "dom-2" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ; fhir:expression [ fhir:v "contained.contained.empty()" ] ; fhir:xpath [ fhir:v "not(parent::f:contained and f:contained)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "dom-4" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ; fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "dom-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ] ; fhir:expression [ fhir:v "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ; fhir:xpath [ fhir:v "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"^^xsd:anyURI ] ; fhir:value [ a fhir:markdown ; fhir:v "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ] ) ; fhir:key [ fhir:v "dom-6" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "A resource should have narrative for robust management" ] ; fhir:expression [ fhir:v "text.`div`.exists()" ] ; fhir:xpath [ fhir:v "exists(f:text/h:div)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "dom-5" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ; fhir:expression [ fhir:v "contained.meta.security.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:security))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Entity. Role, or Act" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CombinedMedicationRequest" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.id" ] ; fhir:path [ fhir:v "MedicationRequest.id" ] ; fhir:short [ fhir:v "Logical id of this artifact" ] ; fhir:definition [ fhir:v "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ; fhir:comment [ fhir:v "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "id"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.meta" ] ; fhir:path [ fhir:v "MedicationRequest.meta" ] ; fhir:short [ fhir:v "Metadata about the resource" ] ; fhir:definition [ fhir:v "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.meta" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Meta"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.meta.id" ] ; fhir:path [ fhir:v "MedicationRequest.meta.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.meta.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.meta.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.meta.versionId" ] ; fhir:path [ fhir:v "MedicationRequest.meta.versionId" ] ; fhir:short [ fhir:v "Version specific identifier" ] ; fhir:definition [ fhir:v "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted." ] ; fhir:comment [ fhir:v "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.versionId" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "id"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.meta.lastUpdated" ] ; fhir:path [ fhir:v "MedicationRequest.meta.lastUpdated" ] ; fhir:short [ fhir:v "When the resource version last changed" ] ; fhir:definition [ fhir:v "When the resource last changed - e.g. when the version changed." ] ; fhir:comment [ fhir:v "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.lastUpdated" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "instant"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.meta.source" ] ; fhir:path [ fhir:v "MedicationRequest.meta.source" ] ; fhir:short [ fhir:v "Identifies where the resource comes from" ] ; fhir:definition [ fhir:v "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc." ] ; fhir:comment [ fhir:v "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.source" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.meta.profile" ] ; fhir:path [ fhir:v "MedicationRequest.meta.profile" ] ; fhir:short [ fhir:v "Profiles this resource claims to conform to" ] ; fhir:definition [ fhir:v "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)." ] ; fhir:comment [ fhir:v "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.profile" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "canonical"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/StructureDefinition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/StructureDefinition> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.meta.security" ] ; fhir:path [ fhir:v "MedicationRequest.meta.security" ] ; fhir:short [ fhir:v "Security Labels applied to this resource" ] ; fhir:definition [ fhir:v "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." ] ; fhir:comment [ fhir:v "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.security" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "SecurityLabels" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Security Labels from the Healthcare Privacy and Security Classification System." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/security-labels"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/security-labels> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CV" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding rdfs:subClassOf dt:CDCoding" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.meta.tag" ] ; fhir:path [ fhir:v "MedicationRequest.meta.tag" ] ; fhir:short [ fhir:v "Tags applied to this resource" ] ; fhir:definition [ fhir:v "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." ] ; fhir:comment [ fhir:v "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.tag" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "Tags" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/common-tags"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/common-tags> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CV" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding rdfs:subClassOf dt:CDCoding" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.implicitRules" ] ; fhir:path [ fhir:v "MedicationRequest.implicitRules" ] ; fhir:short [ fhir:v "A set of rules under which this content was created" ] ; fhir:definition [ fhir:v "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ] ; fhir:comment [ fhir:v "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.implicitRules" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.language" ] ; fhir:path [ fhir:v "MedicationRequest.language" ] ; fhir:short [ fhir:v "Language of the resource content" ] ; fhir:definition [ fhir:v "The base language in which the resource is written." ] ; fhir:comment [ fhir:v "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.language" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ] ; fhir:value [ a fhir:canonical ; fhir:v "http://hl7.org/fhir/ValueSet/all-languages"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/all-languages> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "Language" ] ] ) ; fhir:strength [ fhir:v "preferred" ] ; fhir:description [ fhir:v "A human language." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/languages"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/languages> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.text" ] ; fhir:path [ fhir:v "MedicationRequest.text" ] ; fhir:short [ fhir:v "Text summary of the resource, for human interpretation" ] ; fhir:definition [ fhir:v "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ] ; fhir:comment [ fhir:v "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ; ( fhir:alias [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.text" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Narrative"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Act.text?" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.contained" ] ; fhir:path [ fhir:v "MedicationRequest.contained" ] ; fhir:short [ fhir:v "Contained, inline Resources" ] ; fhir:definition [ fhir:v "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ] ; fhir:comment [ fhir:v "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ] ; ( fhir:alias [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.contained" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Resource"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Entity. Role, or Act" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription" ] ; fhir:path [ fhir:v "MedicationRequest.extension" ] ; fhir:sliceName [ fhir:v "multiplePrescription" ] ; fhir:short [ fhir:v "MultiplePrescription" ] ; fhir:definition [ fhir:v "This FHIR Extension for multiple prescriptions adds details such as repetition count and time intervals for repeated medication orders to FHIR resources." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "closed" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:indicator" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:sliceName [ fhir:v "indicator" ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:indicator.id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:indicator.extension" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:indicator.url" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.url" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "identifies the meaning of the extension" ] ; fhir:definition [ fhir:v "Source of the definition for the extension code - a logical name or a URL." ] ; fhir:comment [ fhir:v "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.url" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:fixed [ a fhir:uri ; fhir:v "indicator"^^xsd:anyURI ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:indicator.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x]" ] ; fhir:short [ fhir:v "Multiple Prescription Indicator" ] ; fhir:definition [ fhir:v "Indicator of whether the current prescription is part of a multiple prescription\r\n\r\ntrue - the current prescription is part of a multiple prescription \r\nfalse - the current prescription is not part of a multiple prescription" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.value[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:sliceName [ fhir:v "counter" ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.extension" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.url" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.url" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "identifies the meaning of the extension" ] ; fhir:definition [ fhir:v "Source of the definition for the extension code - a logical name or a URL." ] ; fhir:comment [ fhir:v "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.url" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:fixed [ a fhir:uri ; fhir:v "counter"^^xsd:anyURI ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x]" ] ; fhir:short [ fhir:v "Value of extension" ] ; fhir:definition [ fhir:v "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.value[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Ratio"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator" ] ; fhir:short [ fhir:v "Numerator value" ] ; fhir:definition [ fhir:v "The value of the numerator." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Ratio.numerator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".numerator" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.value" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator.value" ] ; fhir:short [ fhir:v "Multiple Prescription Counter" ] ; fhir:definition [ fhir:v "The field serves to indicate which number in a series of multiple prescriptions it is. Example: \"2\" in \"2 out of 4\"" ] ; fhir:comment [ fhir:v "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)." ] ; fhir:requirements [ fhir:v "Precision is handled implicitly in almost all cases of measurement." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "decimal"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.2 / CQ - N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.comparator" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator.comparator" ] ; fhir:short [ fhir:v "< | <= | >= | > - how to understand the value" ] ; fhir:definition [ fhir:v "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.comparator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; fhir:meaningWhenMissing [ fhir:v "If there is no comparator, then there is no modification of the value" ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "QuantityComparator" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "How the Quantity should be understood and represented." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.1 / CQ.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "IVL properties" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.unit" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator.unit" ] ; fhir:short [ fhir:v "Unit representation" ] ; fhir:definition [ fhir:v "A human-readable form of the unit." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.unit" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.unit" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.system" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator.system" ] ; fhir:short [ fhir:v "System that defines coded unit form" ] ; fhir:definition [ fhir:v "The identification of the system that provides the coded form of the unit." ] ; fhir:comment [ fhir:v "see http://en.wikipedia.org/wiki/Uniform_resource_identifier" ] ; fhir:requirements [ fhir:v "Need to know the system that defines the coded form of the unit." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "qty-3" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CO.codeSystem, PQ.translation.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.code" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator.code" ] ; fhir:short [ fhir:v "Coded form of the unit" ] ; fhir:definition [ fhir:v "A computer processable form of the unit in some unit representation system." ] ; fhir:comment [ fhir:v "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system." ] ; fhir:requirements [ fhir:v "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.code, MO.currency, PQ.translation.code" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator" ] ; fhir:short [ fhir:v "Denominator value" ] ; fhir:definition [ fhir:v "The value of the denominator." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Ratio.denominator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".denominator" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.value" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator.value" ] ; fhir:short [ fhir:v "Denominator of Multiple Prescription Series" ] ; fhir:definition [ fhir:v "The field serves to indicate the length of this series. Example: \"4\" in \"2 out of 4\"" ] ; fhir:comment [ fhir:v "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)." ] ; fhir:requirements [ fhir:v "Precision is handled implicitly in almost all cases of measurement." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "decimal"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.2 / CQ - N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.comparator" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator.comparator" ] ; fhir:short [ fhir:v "< | <= | >= | > - how to understand the value" ] ; fhir:definition [ fhir:v "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.comparator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; fhir:meaningWhenMissing [ fhir:v "If there is no comparator, then there is no modification of the value" ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "QuantityComparator" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "How the Quantity should be understood and represented." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.1 / CQ.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "IVL properties" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.unit" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator.unit" ] ; fhir:short [ fhir:v "Unit representation" ] ; fhir:definition [ fhir:v "A human-readable form of the unit." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.unit" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.unit" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.system" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator.system" ] ; fhir:short [ fhir:v "System that defines coded unit form" ] ; fhir:definition [ fhir:v "The identification of the system that provides the coded form of the unit." ] ; fhir:comment [ fhir:v "see http://en.wikipedia.org/wiki/Uniform_resource_identifier" ] ; fhir:requirements [ fhir:v "Need to know the system that defines the coded form of the unit." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "qty-3" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CO.codeSystem, PQ.translation.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.code" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator.code" ] ; fhir:short [ fhir:v "Coded form of the unit" ] ; fhir:definition [ fhir:v "A computer processable form of the unit in some unit representation system." ] ; fhir:comment [ fhir:v "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system." ] ; fhir:requirements [ fhir:v "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.code, MO.currency, PQ.translation.code" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:sliceName [ fhir:v "period" ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.extension" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.url" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.url" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "identifies the meaning of the extension" ] ; fhir:definition [ fhir:v "Source of the definition for the extension code - a logical name or a URL." ] ; fhir:comment [ fhir:v "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.url" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:fixed [ a fhir:uri ; fhir:v "period"^^xsd:anyURI ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x]" ] ; fhir:short [ fhir:v "Value of extension" ] ; fhir:definition [ fhir:v "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.value[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "-limitationDateStart" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Limitation of the date format to 10 characters YYYY-MM-DD" ] ; fhir:expression [ fhir:v "start.toString().length()=10" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension> ] ] [ fhir:key [ fhir:v "-limitationDateEnd" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Limitation of the date format to 10 characters YYYY-MM-DD" ] ; fhir:expression [ fhir:v "end.exists().not() or end.toString().length()=10" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.value[x].id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.value[x].extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.value[x].start" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].start" ] ; fhir:short [ fhir:v "Start Date of the Prescription Redemption Period" ] ; fhir:definition [ fhir:v "Date from which the partial prescription of the multiple prescription can be redeemed" ] ; fhir:comment [ fhir:v "If the low element is missing, the meaning is that the low boundary is not known." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Period.start" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "per-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "DR.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./low" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.value[x].end" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].end" ] ; fhir:short [ fhir:v "End Date of the Prescription Redemption Period" ] ; fhir:definition [ fhir:v "Date of the last redemption day for the partial prescription within the multiple prescription series. \nThe issuer may specify a redemption period different from the one outlined in the Medicinal Products Prescription Ordinance (AMVV)" ] ; fhir:comment [ fhir:v "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Period.end" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ] ] ) ; fhir:meaningWhenMissing [ fhir:v "If the end of the period is missing, it means that the period is ongoing" ] ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "per-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "DR.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./high" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:sliceName [ fhir:v "id" ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.extension" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.url" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.url" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "identifies the meaning of the extension" ] ; fhir:definition [ fhir:v "Source of the definition for the extension code - a logical name or a URL." ] ; fhir:comment [ fhir:v "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.url" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:fixed [ a fhir:uri ; fhir:v "id"^^xsd:anyURI ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x]" ] ; fhir:short [ fhir:v "Value of extension" ] ; fhir:definition [ fhir:v "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.value[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].use" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].use" ] ; fhir:short [ fhir:v "usual | official | temp | secondary | old (If known)" ] ; fhir:definition [ fhir:v "The purpose of this identifier." ] ; fhir:comment [ fhir:v "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." ] ; fhir:requirements [ fhir:v "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.use" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one." ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "IdentifierUse" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "Identifies the purpose for this identifier, if known ." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/identifier-use|4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].type" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].type" ] ; fhir:short [ fhir:v "Description of identifier" ] ; fhir:definition [ fhir:v "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." ] ; fhir:comment [ fhir:v "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." ] ; fhir:requirements [ fhir:v "Allows users to make use of identifiers when the identifier system is not known." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "IdentifierType" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/identifier-type"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/identifier-type> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.5" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.code or implied by context" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].system" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].system" ] ; fhir:short [ fhir:v "Specification as UUID" ] ; fhir:definition [ fhir:v "Establishes the namespace for the value - that is, a URL that describes a set values that are unique." ] ; fhir:comment [ fhir:v "Identifier.system is always case sensitive." ] ; fhir:requirements [ fhir:v "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:fixed [ a fhir:uri ; fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ; ( fhir:example [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:uri ; fhir:v "http://www.acme.com/identifiers/patient"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / EI-2-4" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.root or Role.id.root" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierType" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].value" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].value" ] ; fhir:short [ fhir:v "Multiple Prescription ID" ] ; fhir:definition [ fhir:v "A unique ID that is identical across all partial prescriptions of a multiple prescription." ] ; fhir:comment [ fhir:v "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:example [ fhir:label [ fhir:v "General" ] ; fhir:value [ a fhir:string ; fhir:v "123456" ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.1 / EI.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./Value" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].period" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].period" ] ; fhir:short [ fhir:v "Time period when id is/was valid for use" ] ; fhir:definition [ fhir:v "Time period during which identifier is/was valid for use." ] ; fhir:comment [ fhir:v "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.period" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "per-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If present, start SHALL have a lower value than end" ] ; fhir:expression [ fhir:v "start.hasValue().not() or end.hasValue().not() or (start <= end)" ] ; fhir:xpath [ fhir:v "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Library"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Library> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "DR" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.7 + CX.8" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Role.effectiveTime or implied by context" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./StartDate and ./EndDate" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].assigner" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].assigner" ] ; fhir:short [ fhir:v "Organization that issued id (may be just text)" ] ; fhir:definition [ fhir:v "Organization that issued/manages the identifier." ] ; fhir:comment [ fhir:v "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Identifier.assigner" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX.4 / (CX.4,CX.9,CX.10)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "./IdentifierIssuingAuthority" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.url" ] ; fhir:path [ fhir:v "MedicationRequest.extension.url" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "identifies the meaning of the extension" ] ; fhir:definition [ fhir:v "Source of the definition for the extension code - a logical name or a URL." ] ; fhir:comment [ fhir:v "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.url" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:fixed [ a fhir:uri ; fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"^^xsd:anyURI ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.value[x]" ] ; fhir:short [ fhir:v "Value of extension" ] ; fhir:definition [ fhir:v "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Extension.value[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "base64Binary"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "canonical"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "date"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "decimal"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "id"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "instant"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "integer"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "oid"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "positiveInt"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "time"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "unsignedInt"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "url"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "uuid"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Address"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Age"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Annotation"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Attachment"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "ContactPoint"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Count"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Distance"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Duration"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "HumanName"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Money"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Range"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Ratio"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "SampledData"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Signature"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Timing"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "ContactDetail"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Contributor"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "DataRequirement"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Expression"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "ParameterDefinition"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "RelatedArtifact"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "TriggerDefinition"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "UsageContext"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Dosage"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Meta"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:isBvg" ] ; fhir:path [ fhir:v "MedicationRequest.extension" ] ; fhir:sliceName [ fhir:v "isBvg" ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "Indicator of whether this regulation is made in reference to the 'Bundesentschädigungsgesetz' or the 'Bundesversorgungsgesetz'." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:isBvg.id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:isBvg.extension" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:isBvg.url" ] ; fhir:path [ fhir:v "MedicationRequest.extension.url" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "identifies the meaning of the extension" ] ; fhir:definition [ fhir:v "Source of the definition for the extension code - a logical name or a URL." ] ; fhir:comment [ fhir:v "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.url" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:fixed [ a fhir:uri ; fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension"^^xsd:anyURI ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.extension:isBvg.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.value[x]" ] ; fhir:short [ fhir:v "BVG" ] ; fhir:definition [ fhir:v "Indicator of whether this regulation applies to claimants under the 'Bundesentschädigungsgesetz' (BEG) or to claimants under the 'Bundesversorgungsgesetz' (BVG).\n\r\n\r\nfalse - not BVG (default value)\n\r\ntrue - BVG" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Extension.value[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.modifierExtension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.modifierExtension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extensions that cannot be ignored" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.identifier" ] ; fhir:path [ fhir:v "MedicationRequest.identifier" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "pattern" ] ; fhir:path [ fhir:v "$this" ] ] ) ; fhir:description [ fhir:v "ePrescription identifier and overall transaction identifier" ] ; fhir:ordered [ fhir:v false ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "External ids for this request" ] ; fhir:definition [ fhir:v "Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server." ] ; fhir:comment [ fhir:v "This is a business identifier, not a resource identifier." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX / EI (occasionally, more often EI maps to a resource id or a URL)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "Identifier" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.identifier" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Header/PrescriberOrderNumber" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.identifier" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "ORC-2-Placer Order Number / ORC-3-Filler Order Number" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".id" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.identifier:RxPrescriptionProcessIdentifier" ] ; fhir:path [ fhir:v "MedicationRequest.identifier" ] ; fhir:sliceName [ fhir:v "RxPrescriptionProcessIdentifier" ] ; fhir:short [ fhir:v "External ids for this request" ] ; fhir:definition [ fhir:v "Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server." ] ; fhir:comment [ fhir:v "This is a business identifier, not a resource identifier." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier> ] ) ] ) ; fhir:pattern [ a fhir:Identifier ; fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"^^xsd:anyURI ] ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX / EI (occasionally, more often EI maps to a resource id or a URL)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "Identifier" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.identifier" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Header/PrescriberOrderNumber" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.identifier" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "ORC-2-Placer Order Number / ORC-3-Filler Order Number" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".id" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.identifier:RxOriginatorProcessIdentifier" ] ; fhir:path [ fhir:v "MedicationRequest.identifier" ] ; fhir:sliceName [ fhir:v "RxOriginatorProcessIdentifier" ] ; fhir:short [ fhir:v "External ids for this request" ] ; fhir:definition [ fhir:v "Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server." ] ; fhir:comment [ fhir:v "This is a business identifier, not a resource identifier." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier> ] ) ] ) ; fhir:pattern [ a fhir:Identifier ; fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"^^xsd:anyURI ] ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX / EI (occasionally, more often EI maps to a resource id or a URL)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "Identifier" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.identifier" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Header/PrescriberOrderNumber" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.identifier" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "ORC-2-Placer Order Number / ORC-3-Filler Order Number" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".id" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.status" ] ; fhir:path [ fhir:v "MedicationRequest.status" ] ; fhir:short [ fhir:v "Status of Medication Request" ] ; fhir:definition [ fhir:v "A code specifying the current state of the order. Generally, this will be active or completed state." ] ; fhir:comment [ fhir:v "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.status" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.status" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "no mapping" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.status" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".statusCode" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.statusReason" ] ; fhir:path [ fhir:v "MedicationRequest.statusReason" ] ; fhir:short [ fhir:v "Reason for current status" ] ; fhir:definition [ fhir:v "Captures the reason for the current state of the MedicationRequest." ] ; fhir:comment [ fhir:v "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the MedicationRequest was created at all is captured in reasonCode, not here." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.statusReason" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationRequestStatusReason" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Identifies the reasons for a given status." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/medicationrequest-status-reason> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.statusReason" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.intent" ] ; fhir:path [ fhir:v "MedicationRequest.intent" ] ; fhir:short [ fhir:v "filler-order" ] ; fhir:definition [ fhir:v "e.g. when data is synchronized with the E-Rezept-Fachdienst, the 'filler-order' code should be used here." ] ; fhir:comment [ fhir:v "It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.\r\rAn instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.\r\rThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.intent" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationRequestIntent" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "The kind of medication order." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.intent" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.class" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.category" ] ; fhir:path [ fhir:v "MedicationRequest.category" ] ; fhir:short [ fhir:v "Type of medication usage" ] ; fhir:definition [ fhir:v "Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient))." ] ; fhir:comment [ fhir:v "The category can be used to include where the medication is expected to be consumed or other types of requests." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.category" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationRequestCategory" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medicationrequest-category"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/medicationrequest-category> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.class" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.priority" ] ; fhir:path [ fhir:v "MedicationRequest.priority" ] ; fhir:short [ fhir:v "routine | urgent | asap | stat" ] ; fhir:definition [ fhir:v "Indicates how quickly the Medication Request should be addressed with respect to other requests." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.priority" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationRequestPriority" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "Identifies the level of importance to be assigned to actioning the request." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/request-priority|4.0.1"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/request-priority|4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.priority" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.grade" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".priorityCode" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.doNotPerform" ] ; fhir:path [ fhir:v "MedicationRequest.doNotPerform" ] ; fhir:short [ fhir:v "True if request is prohibiting action" ] ; fhir:definition [ fhir:v "If true indicates that the provider is asking for the medication request not to occur." ] ; fhir:comment [ fhir:v "If do not perform is not specified, the request is a positive request e.g. \"do perform\"." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.doNotPerform" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "SubstanceAdministration.actionNegationInd" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.reported[x]" ] ; fhir:path [ fhir:v "MedicationRequest.reported[x]" ] ; fhir:short [ fhir:v "Reported rather than primary record" ] ; fhir:definition [ fhir:v "Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.reported[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=INF].role" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.medication[x]" ] ; fhir:path [ fhir:v "MedicationRequest.medication[x]" ] ; fhir:short [ fhir:v "Medication to be taken" ] ; fhir:definition [ fhir:v "Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications." ] ; fhir:comment [ fhir:v "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.medication[x]" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Medication"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Medication> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.code" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.what[x]" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "consumable.administrableMedication" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.subject" ] ; fhir:path [ fhir:v "MedicationRequest.subject" ] ; fhir:short [ fhir:v "Who or group medication request is for" ] ; fhir:definition [ fhir:v "A link to a resource representing the person or set of individuals to whom the medication will be given." ] ; fhir:comment [ fhir:v "The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.subject" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.subject" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.subject[x]" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "PID-3-Patient ID List" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=AUT].role" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.subject" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.subject.id" ] ; fhir:path [ fhir:v "MedicationRequest.subject.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.subject.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.subject.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.subject.reference" ] ; fhir:path [ fhir:v "MedicationRequest.subject.reference" ] ; fhir:short [ fhir:v "Literal reference, Relative, internal or absolute URL" ] ; fhir:definition [ fhir:v "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ; fhir:comment [ fhir:v "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.reference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "ref-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.subject.type" ] ; fhir:path [ fhir:v "MedicationRequest.subject.type" ] ; fhir:short [ fhir:v "Type the reference refers to (e.g. \"Patient\")" ] ; fhir:definition [ fhir:v "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ; fhir:comment [ fhir:v "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "FHIRResourceTypeExt" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Aa resource (or, for logical models, the URI of the logical model)." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/resource-types"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/resource-types> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.subject.identifier" ] ; fhir:path [ fhir:v "MedicationRequest.subject.identifier" ] ; fhir:short [ fhir:v "Logical reference, when literal reference is not known" ] ; fhir:definition [ fhir:v "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ; fhir:comment [ fhir:v "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://fhir.de/StructureDefinition/identifier-kvid-10"^^xsd:anyURI ; fhir:link <http://fhir.de/StructureDefinition/identifier-kvid-10> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX / EI (occasionally, more often EI maps to a resource id or a URL)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "Identifier" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".identifier" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.subject.display" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "MedicationRequest.subject.display" ] ; fhir:short [ fhir:v "Text alternative for the resource" ] ; fhir:definition [ fhir:v "Plain text narrative that identifies the resource in addition to the resource reference." ] ; fhir:comment [ fhir:v "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.encounter" ] ; fhir:path [ fhir:v "MedicationRequest.encounter" ] ; fhir:short [ fhir:v "Encounter created as part of encounter/admission/stay" ] ; fhir:definition [ fhir:v "The Encounter during which this [x] was created or to which the creation of this record is tightly associated." ] ; fhir:comment [ fhir:v "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.\" If there is a need to link to episodes of care they will be handled with an extension." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.encounter" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.context" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "no mapping" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.context" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "PV1-19-Visit Number" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.supportingInformation" ] ; fhir:path [ fhir:v "MedicationRequest.supportingInformation" ] ; fhir:short [ fhir:v "Information to support ordering of the medication" ] ; fhir:definition [ fhir:v "Include additional information (for example, patient height and weight) that supports the ordering of the medication." ] ; fhir:comment [ fhir:v "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.supportingInformation" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Resource> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.supportingInfo" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.context" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.authoredOn" ] ; fhir:path [ fhir:v "MedicationRequest.authoredOn" ] ; fhir:short [ fhir:v "Issue Date" ] ; fhir:definition [ fhir:v "Issue Date of the Prescription" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.authoredOn" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.authoredOn" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed/WrittenDate" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.recorded" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "author.time" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.requester" ] ; fhir:path [ fhir:v "MedicationRequest.requester" ] ; fhir:short [ fhir:v "Who/What requested the Request" ] ; fhir:definition [ fhir:v "The individual, organization, or device that initiated the request and has responsibility for its activation." ] ; fhir:comment [ fhir:v "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.requester" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.requester" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.author" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=AUT].role" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.performer" ] ; fhir:path [ fhir:v "MedicationRequest.performer" ] ; fhir:short [ fhir:v "Intended performer of administration" ] ; fhir:definition [ fhir:v "The specified desired performer of the medication treatment (e.g. the performer of the medication administration)." ] ; fhir:comment [ fhir:v "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.performer" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Device> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/CareTeam"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/CareTeam> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.performer" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.actor" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.performerType" ] ; fhir:path [ fhir:v "MedicationRequest.performerType" ] ; fhir:short [ fhir:v "Desired kind of performer of the medication administration" ] ; fhir:definition [ fhir:v "Indicates the type of performer of the administration of the medication." ] ; fhir:comment [ fhir:v "If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.performerType" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationRequestPerformerType" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Identifies the type of individual that is desired to administer the medication." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/performer-role"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/performer-role> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.performerType" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.recorder" ] ; fhir:path [ fhir:v "MedicationRequest.recorder" ] ; fhir:short [ fhir:v "Person who entered the request" ] ; fhir:definition [ fhir:v "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order." ] ; fhir:comment [ fhir:v "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.recorder" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.who" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.reasonCode" ] ; fhir:path [ fhir:v "MedicationRequest.reasonCode" ] ; fhir:short [ fhir:v "Reason or indication for ordering or not ordering the medication" ] ; fhir:definition [ fhir:v "The reason or the indication for ordering or not ordering the medication." ] ; fhir:comment [ fhir:v "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.reasonCode" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationRequestReason" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A coded concept indicating why the medication was ordered." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/condition-code"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/condition-code> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.reasonCode" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.why[x]" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "reason.observation.reasonCode" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.reasonReference" ] ; fhir:path [ fhir:v "MedicationRequest.reasonReference" ] ; fhir:short [ fhir:v "Condition or observation that supports why the prescription is being written" ] ; fhir:definition [ fhir:v "Condition or observation that supports why the medication was ordered." ] ; fhir:comment [ fhir:v "This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.reasonReference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Condition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Condition> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.reasonReference" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "no mapping" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.why[x]" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "reason.observation[code=ASSERTION].value" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.instantiatesCanonical" ] ; fhir:path [ fhir:v "MedicationRequest.instantiatesCanonical" ] ; fhir:short [ fhir:v "Instantiates FHIR protocol or definition" ] ; fhir:definition [ fhir:v "The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest." ] ; fhir:comment [ fhir:v "see [Canonical References](http://hl7.org/fhir/R4/references.html#canonical)" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.instantiatesCanonical" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "canonical"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.instantiates" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.instantiatesUri" ] ; fhir:path [ fhir:v "MedicationRequest.instantiatesUri" ] ; fhir:short [ fhir:v "Instantiates external protocol or definition" ] ; fhir:definition [ fhir:v "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest." ] ; fhir:comment [ fhir:v "see http://en.wikipedia.org/wiki/Uniform_resource_identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.instantiatesUri" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.basedOn" ] ; fhir:path [ fhir:v "MedicationRequest.basedOn" ] ; fhir:short [ fhir:v "What request fulfills" ] ; fhir:definition [ fhir:v "A plan or request that is fulfilled in whole or in part by this medication request." ] ; fhir:comment [ fhir:v "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.basedOn" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/CarePlan"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/CarePlan> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationRequest"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/ServiceRequest"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.basedOn" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.groupIdentifier" ] ; fhir:path [ fhir:v "MedicationRequest.groupIdentifier" ] ; fhir:short [ fhir:v "Composite request this is part of" ] ; fhir:definition [ fhir:v "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription." ] ; fhir:requirements [ fhir:v "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.groupIdentifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CX / EI (occasionally, more often EI maps to a resource id or a URL)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" ] ] [ fhir:identity [ fhir:v "servd" ] ; fhir:map [ fhir:v "Identifier" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.groupIdentifier" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.courseOfTherapyType" ] ; fhir:path [ fhir:v "MedicationRequest.courseOfTherapyType" ] ; fhir:short [ fhir:v "Overall pattern of medication administration" ] ; fhir:definition [ fhir:v "The description of the overall patte3rn of the administration of the medication to the patient." ] ; fhir:comment [ fhir:v "This attribute should not be confused with the protocol of the medication." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.courseOfTherapyType" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationRequestCourseOfTherapy" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Identifies the overall pattern of medication administratio." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Act.code where classCode = LIST and moodCode = EVN" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.insurance" ] ; fhir:path [ fhir:v "MedicationRequest.insurance" ] ; fhir:short [ fhir:v "Associated insurance coverage" ] ; fhir:definition [ fhir:v "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service." ] ; fhir:comment [ fhir:v "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.insurance" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Coverage"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Coverage> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/ClaimResponse"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/ClaimResponse> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.insurance" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=COVBY].target" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.note" ] ; fhir:path [ fhir:v "MedicationRequest.note" ] ; fhir:short [ fhir:v "Information about the prescription" ] ; fhir:definition [ fhir:v "Extra information about the prescription that could not be conveyed by the other attributes." ] ; fhir:comment [ fhir:v "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.note" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Annotation"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Act" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.note" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed/Note" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.note.id" ] ; fhir:path [ fhir:v "MedicationRequest.note.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.note.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.note.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.note.author[x]" ] ; fhir:path [ fhir:v "MedicationRequest.note.author[x]" ] ; fhir:short [ fhir:v "Individual responsible for the annotation" ] ; fhir:definition [ fhir:v "The individual responsible for making the annotation." ] ; fhir:comment [ fhir:v "Organization is used when there's no need for specific attribution as to who made the comment." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Annotation.author[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ) ] [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Act.participant[typeCode=AUT].role" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.note.time" ] ; fhir:path [ fhir:v "MedicationRequest.note.time" ] ; fhir:short [ fhir:v "When the annotation was made" ] ; fhir:definition [ fhir:v "Indicates when this particular annotation was made." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Annotation.time" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Act.effectiveTime" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.note.text" ] ; fhir:path [ fhir:v "MedicationRequest.note.text" ] ; fhir:short [ fhir:v "Dispensing Note" ] ; fhir:definition [ fhir:v "Instructions to the pharmacy that go beyond the dosage information" ] ; fhir:comment [ fhir:v "Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Annotation.text" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Act.text" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction" ] ; fhir:short [ fhir:v "Hier werden Informationen zur Dosierung angegeben." ] ; fhir:definition [ fhir:v "Hier werden Informationen zur Dosierung angegeben." ] ; fhir:comment [ fhir:v "There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, \"Ondansetron 8mg orally or IV twice a day as needed for nausea\" or \"Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting\". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dosageInstruction" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Dosage"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.occurrence[x]" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "see dosageInstruction mapping" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.id" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.modifierExtension" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.sequence" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.sequence" ] ; fhir:short [ fhir:v "The order of the dosage instructions" ] ; fhir:definition [ fhir:v "Indicates the order in which the dosage instructions should be applied or interpreted." ] ; fhir:comment [ fhir:v "32 bit number; for values larger than this, use decimal" ] ; fhir:requirements [ fhir:v "If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.sequence" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "integer"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "TQ1-1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".text" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.text" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.text" ] ; fhir:short [ fhir:v "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden." ] ; fhir:definition [ fhir:v "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.text" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXO-6; RXE-21" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".text" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.additionalInstruction" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.additionalInstruction" ] ; fhir:short [ fhir:v "Supplemental instruction or warnings to the patient - e.g. \"with meals\", \"may cause drowsiness\"" ] ; fhir:definition [ fhir:v "Supplemental instructions to the patient on how to take the medication (e.g. \"with meals\" or\"take half to one hour before food\") or warnings for the patient about the medication (e.g. \"may cause drowsiness\" or \"avoid exposure of skin to direct sunlight or sunlamps\")." ] ; fhir:comment [ fhir:v "Information about administration or preparation of the medication (e.g. \"infuse as rapidly as possibly via intraperitoneal port\" or \"immediately following drug x\") should be populated in dosage.text." ] ; fhir:requirements [ fhir:v "Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, \"Swallow with plenty of water\" which might or might not be coded." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.additionalInstruction" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "AdditionalInstruction" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A coded concept identifying additional instructions such as \"take with water\" or \"avoid operating heavy machinery\"." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/additional-instruction-codes"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/additional-instruction-codes> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXO-7" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".text" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.patientInstruction" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.patientInstruction" ] ; fhir:short [ fhir:v "Instructions for Use" ] ; fhir:definition [ fhir:v "Instructions for Use" ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.patientInstruction" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXO-7" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".text" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.timing" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.timing" ] ; fhir:short [ fhir:v "When medication should be administered" ] ; fhir:definition [ fhir:v "When medication should be administered." ] ; fhir:comment [ fhir:v "This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing." ] ; fhir:requirements [ fhir:v "The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.timing" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Timing"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "QSET<TS> (GTS)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".effectiveTime" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.asNeeded[x]" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.asNeeded[x]" ] ; fhir:short [ fhir:v "Take \"as needed\" (for x)" ] ; fhir:definition [ fhir:v "Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept)." ] ; fhir:comment [ fhir:v "Can express \"as needed\" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express \"as needed\" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not \"prn\" or \"as needed\"." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.asNeeded[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationAsNeededReason" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/medication-as-needed-reason> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "TQ1-9" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.site" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.site" ] ; fhir:short [ fhir:v "Body site to administer to" ] ; fhir:definition [ fhir:v "Body site to administer to." ] ; fhir:comment [ fhir:v "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both." ] ; fhir:requirements [ fhir:v "A coded specification of the anatomic site where the medication first enters the body." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.site" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationAdministrationSite" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A coded concept describing the site location the medicine enters into or onto the body." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/approach-site-codes"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/approach-site-codes> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXR-2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".approachSiteCode" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.route" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.route" ] ; fhir:short [ fhir:v "How drug should enter body" ] ; fhir:definition [ fhir:v "How drug should enter body." ] ; fhir:comment [ fhir:v "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." ] ; fhir:requirements [ fhir:v "A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.route" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "RouteOfAdministration" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/route-codes"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/route-codes> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXR-1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".routeCode" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.method" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.method" ] ; fhir:short [ fhir:v "Technique for administering medication" ] ; fhir:definition [ fhir:v "Technique for administering medication." ] ; fhir:comment [ fhir:v "Terminologies used often pre-coordinate this term with the route and or form of administration." ] ; fhir:requirements [ fhir:v "A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.method" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationAdministrationMethod" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A coded concept describing the technique by which the medicine is administered." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/administration-method-codes"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/administration-method-codes> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXR-4" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".doseQuantity" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate" ] ; fhir:short [ fhir:v "Amount of medication administered" ] ; fhir:definition [ fhir:v "The amount of medication administered." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.doseAndRate" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Element"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "TQ1-2" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.id" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.type" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.type" ] ; fhir:short [ fhir:v "The kind of dose or rate specified" ] ; fhir:definition [ fhir:v "The kind of dose or rate specified, for example, ordered or calculated." ] ; fhir:comment [ fhir:v "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." ] ; fhir:requirements [ fhir:v "If the type is not populated, assume to be \"ordered\"." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.doseAndRate.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "DoseAndRateType" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "The kind of dose or rate specified." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/dose-rate-type"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/dose-rate-type> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXO-21; RXE-23" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.dose[x]" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.dose[x]" ] ; fhir:short [ fhir:v "Amount of medication per dose" ] ; fhir:definition [ fhir:v "Amount of medication per dose." ] ; fhir:comment [ fhir:v "Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours." ] ; fhir:requirements [ fhir:v "The amount of therapeutic or other substance given at one administration event." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.doseAndRate.dose[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Range"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXO-2, RXE-3" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".doseQuantity" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.rate[x]" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.doseAndRate.rate[x]" ] ; fhir:short [ fhir:v "Amount of medication per unit of time" ] ; fhir:definition [ fhir:v "Amount of medication per unit of time." ] ; fhir:comment [ fhir:v "It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.\r\rIt is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour." ] ; fhir:requirements [ fhir:v "Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.doseAndRate.rate[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Ratio"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Range"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXE22, RXE23, RXE-24" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".rateQuantity" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.maxDosePerPeriod" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.maxDosePerPeriod" ] ; fhir:short [ fhir:v "Upper limit on medication per unit of time" ] ; fhir:definition [ fhir:v "Upper limit on medication per unit of time." ] ; fhir:comment [ fhir:v "This is intended for use as an adjunct to the dosage when there is an upper cap. For example \"2 tablets every 4 hours to a maximum of 8/day\"." ] ; fhir:requirements [ fhir:v "The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.maxDosePerPeriod" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Ratio"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "rat-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present" ] ; fhir:expression [ fhir:v "(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())" ] ; fhir:xpath [ fhir:v "(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/SubstanceSpecification> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "RTO" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXO-23, RXE-19" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".maxDoseQuantity" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.maxDosePerAdministration" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.maxDosePerAdministration" ] ; fhir:short [ fhir:v "Upper limit on medication per administration" ] ; fhir:definition [ fhir:v "Upper limit on medication per administration." ] ; fhir:comment [ fhir:v "This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg." ] ; fhir:requirements [ fhir:v "The maximum total quantity of a therapeutic substance that may be administered to a subject per administration." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.maxDosePerAdministration" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] [ fhir:key [ fhir:v "sqty-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "The comparator is not used on a SimpleQuantity" ] ; fhir:expression [ fhir:v "comparator.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:comparator))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "not supported" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.maxDosePerLifetime" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.maxDosePerLifetime" ] ; fhir:short [ fhir:v "Upper limit on medication per lifetime of the patient" ] ; fhir:definition [ fhir:v "Upper limit on medication per lifetime of the patient." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:requirements [ fhir:v "The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Dosage.maxDosePerLifetime" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] [ fhir:key [ fhir:v "sqty-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "The comparator is not used on a SimpleQuantity" ] ; fhir:expression [ fhir:v "comparator.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:comparator))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "not supported" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest" ] ; fhir:short [ fhir:v "Medication supply authorization" ] ; fhir:definition [ fhir:v "Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed/ExpirationDate" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "component.supplyEvent" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.id" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.modifierExtension" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.initialFill" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.initialFill" ] ; fhir:short [ fhir:v "First fill details" ] ; fhir:definition [ fhir:v "Indicates the quantity or duration for the first dispense of the medication." ] ; fhir:comment [ fhir:v "If populating this element, either the quantity or the duration must be included." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest.initialFill" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.initialFill.id" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.initialFill.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.initialFill.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.initialFill.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.initialFill.modifierExtension" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.initialFill.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.initialFill.quantity" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.initialFill.quantity" ] ; fhir:short [ fhir:v "First fill quantity" ] ; fhir:definition [ fhir:v "The amount or quantity to provide as part of the first dispense." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest.initialFill.quantity" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] [ fhir:key [ fhir:v "sqty-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "The comparator is not used on a SimpleQuantity" ] ; fhir:expression [ fhir:v "comparator.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:comparator))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:isModifier [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Supply.quantity[moodCode=RQO]" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.initialFill.duration" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.initialFill.duration" ] ; fhir:short [ fhir:v "First fill duration" ] ; fhir:definition [ fhir:v "The length of time that the first dispense is expected to last." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest.initialFill.duration" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Duration"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] [ fhir:key [ fhir:v "drt-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM." ] ; fhir:expression [ fhir:v "code.exists() implies ((system = %ucum) and value.exists())" ] ; fhir:xpath [ fhir:v "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/PlanDefinition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/PlanDefinition> ] ] ) ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ] ; fhir:value [ a fhir:canonical ; fhir:v "http://hl7.org/fhir/ValueSet/all-time-units"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/all-time-units> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "DurationUnits" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Appropriate units for Duration." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/duration-units"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/duration-units> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ> depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Supply.effectivetime[moodCode=RQO]" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.dispenseInterval" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.dispenseInterval" ] ; fhir:short [ fhir:v "Minimum period of time between dispenses" ] ; fhir:definition [ fhir:v "The minimum period of time that must occur between dispenses of the medication." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest.dispenseInterval" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Duration"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] [ fhir:key [ fhir:v "drt-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM." ] ; fhir:expression [ fhir:v "code.exists() implies ((system = %ucum) and value.exists())" ] ; fhir:xpath [ fhir:v "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/PlanDefinition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/PlanDefinition> ] ] ) ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ] ; fhir:value [ a fhir:canonical ; fhir:v "http://hl7.org/fhir/ValueSet/all-time-units"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/all-time-units> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "DurationUnits" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Appropriate units for Duration." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/duration-units"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/duration-units> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ> depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Supply.effectivetime[moodCode=RQO]" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.validityPeriod" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.validityPeriod" ] ; fhir:short [ fhir:v "Time period supply is authorized for" ] ; fhir:definition [ fhir:v "This indicates the validity period of a prescription (stale dating the Prescription)." ] ; fhir:comment [ fhir:v "It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations." ] ; fhir:requirements [ fhir:v "Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest.validityPeriod" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "per-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If present, start SHALL have a lower value than end" ] ; fhir:expression [ fhir:v "start.hasValue().not() or end.hasValue().not() or (start <= end)" ] ; fhir:xpath [ fhir:v "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Library"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Library> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "DR" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed/Refills" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "effectiveTime" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed" ] ; fhir:short [ fhir:v "Number of refills authorized" ] ; fhir:definition [ fhir:v "An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus \"3 repeats\", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense." ] ; fhir:comment [ fhir:v "If displaying \"number of authorized fills\", add 1 to this number." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "unsignedInt"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed/Quantity" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXE-12-Number of Refills" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "repeatNumber" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity" ] ; fhir:short [ fhir:v "Amount of medication to supply per dispense" ] ; fhir:definition [ fhir:v "The amount that is to be dispensed for one fill." ] ; fhir:comment [ fhir:v "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Quantity"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/SimpleQuantity> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] [ fhir:key [ fhir:v "sqty-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "The comparator is not used on a SimpleQuantity" ] ; fhir:expression [ fhir:v "comparator.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:comparator))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed/DaysSupply" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "quantity" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.id" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.value" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.value" ] ; fhir:short [ fhir:v "Number of Prescribed Packages" ] ; fhir:definition [ fhir:v "Number of Prescribed Packages" ] ; fhir:comment [ fhir:v "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)." ] ; fhir:requirements [ fhir:v "Precision is handled implicitly in almost all cases of measurement." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.value" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "decimal"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.2 / CQ - N/A" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.comparator" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.comparator" ] ; fhir:short [ fhir:v "< | <= | >= | > - how to understand the value" ] ; fhir:definition [ fhir:v "Not allowed to be used in this context" ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "0" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.comparator" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; fhir:meaningWhenMissing [ fhir:v "If there is no comparator, then there is no modification of the value" ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "QuantityComparator" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "How the Quantity should be understood and represented." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN.1 / CQ.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "IVL properties" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.unit" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ] ; fhir:value [ a fhir:boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.unit" ] ; fhir:short [ fhir:v "Unit representation" ] ; fhir:definition [ fhir:v "A human-readable form of the unit." ] ; fhir:comment [ fhir:v "Note that FHIR strings SHALL NOT exceed 1MB in size" ] ; fhir:requirements [ fhir:v "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.unit" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.unit" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.system" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.system" ] ; fhir:short [ fhir:v "System that defines coded unit form" ] ; fhir:definition [ fhir:v "The identification of the system that provides the coded form of the unit." ] ; fhir:comment [ fhir:v "see http://en.wikipedia.org/wiki/Uniform_resource_identifier" ] ; fhir:requirements [ fhir:v "Need to know the system that defines the coded form of the unit." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; fhir:pattern [ a fhir:uri ; fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "qty-3" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CO.codeSystem, PQ.translation.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.code" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.code" ] ; fhir:short [ fhir:v "Coded form of the unit" ] ; fhir:definition [ fhir:v "A computer processable form of the unit in some unit representation system." ] ; fhir:comment [ fhir:v "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system." ] ; fhir:requirements [ fhir:v "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Quantity.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; fhir:pattern [ a fhir:code ; fhir:v "{Package}" ] ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ.code, MO.currency, PQ.translation.code" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.expectedSupplyDuration" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.expectedSupplyDuration" ] ; fhir:short [ fhir:v "Number of days supply per dispense" ] ; fhir:definition [ fhir:v "Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last." ] ; fhir:comment [ fhir:v "In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest.expectedSupplyDuration" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Duration"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "qty-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a code for the unit is present, the system SHALL also be present" ] ; fhir:expression [ fhir:v "code.empty() or system.exists()" ] ; fhir:xpath [ fhir:v "not(exists(f:code)) or exists(f:system)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] [ fhir:key [ fhir:v "drt-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM." ] ; fhir:expression [ fhir:v "code.exists() implies ((system = %ucum) and value.exists())" ] ; fhir:xpath [ fhir:v "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/PlanDefinition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/PlanDefinition> ] ] ) ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ] ; fhir:value [ a fhir:canonical ; fhir:v "http://hl7.org/fhir/ValueSet/all-time-units"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/all-time-units> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "DurationUnits" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Appropriate units for Duration." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/duration-units"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/duration-units> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "SN (see also Range) or CQ" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ>, MO, CO, depending on the values" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "PQ, IVL<PQ> depending on the values" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "Message/Body/NewRx/MedicationPrescribed/Substitutions" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "expectedUseTime" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.performer" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.performer" ] ; fhir:short [ fhir:v "Intended dispenser" ] ; fhir:definition [ fhir:v "Indicates the intended dispensing Organization specified by the prescriber." ] ; fhir:comment [ fhir:v "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.dispenseRequest.performer" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.who" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.substitution" ] ; fhir:path [ fhir:v "MedicationRequest.substitution" ] ; fhir:short [ fhir:v "Any restrictions on medication substitution" ] ; fhir:definition [ fhir:v "Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.substitution" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "subjectOf.substitutionPersmission" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.substitution.id" ] ; fhir:path [ fhir:v "MedicationRequest.substitution.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ a fhir:url ; fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.substitution.extension" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "normative" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "4.0.0" ] ] ) ; fhir:path [ fhir:v "MedicationRequest.substitution.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.substitution.modifierExtension" ] ; fhir:path [ fhir:v "MedicationRequest.substitution.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.substitution.allowed[x]" ] ; fhir:path [ fhir:v "MedicationRequest.substitution.allowed[x]" ] ; fhir:short [ fhir:v "Whether substitution is allowed or not" ] ; fhir:definition [ fhir:v "True if the prescriber allows a different drug to be dispensed from what was prescribed." ] ; fhir:comment [ fhir:v "This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.substitution.allowed[x]" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXO-9-Allow Substitutions / RXE-9-Substitution Status" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "code" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.substitution.reason" ] ; fhir:path [ fhir:v "MedicationRequest.substitution.reason" ] ; fhir:short [ fhir:v "Why should (not) substitution be made" ] ; fhir:definition [ fhir:v "Indicates the reason for the substitution, or why substitution must or must not be performed." ] ; fhir:comment [ fhir:v "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.substitution.reason" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ a fhir:string ; fhir:v "MedicationIntendedSubstitutionReason" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed." ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "CE/CNE/CWE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept rdfs:subClassOf dt:CD" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "not mapped" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "RXE-9 Substition status" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "reasonCode" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.priorPrescription" ] ; fhir:path [ fhir:v "MedicationRequest.priorPrescription" ] ; fhir:short [ fhir:v "An order/prescription that is being replaced" ] ; fhir:definition [ fhir:v "A link to a resource representing an earlier order related order or prescription." ] ; fhir:comment [ fhir:v "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.priorPrescription" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationRequest"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.replaces" ] ] [ fhir:identity [ fhir:v "script10.6" ] ; fhir:map [ fhir:v "not mapped" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.detectedIssue" ] ; fhir:path [ fhir:v "MedicationRequest.detectedIssue" ] ; fhir:short [ fhir:v "Clinical Issue with action" ] ; fhir:definition [ fhir:v "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc." ] ; fhir:comment [ fhir:v "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue." ] ; ( fhir:alias [ fhir:v "Contraindication" ] [ fhir:v "Drug Utilization Review (DUR)" ] [ fhir:v "Alert" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.detectedIssue" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/DetectedIssue"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DetectedIssue> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value" ] ] ) ] [ fhir:id [ fhir:v "MedicationRequest.eventHistory" ] ; fhir:path [ fhir:v "MedicationRequest.eventHistory" ] ; fhir:short [ fhir:v "A list of events of interest in the lifecycle" ] ; fhir:definition [ fhir:v "Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource." ] ; fhir:comment [ fhir:v "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "MedicationRequest.eventHistory" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Provenance"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Provenance> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ref-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "SHALL have a contained resource if a local reference is provided" ] ; fhir:expression [ fhir:v "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" ] ; fhir:xpath [ fhir:v "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Observation> ] ] ) ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Request.relevantHistory" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" ] ] ) ] ) ] ; # fhir:differential [ ( fhir:element [ fhir:id [ fhir:v "MedicationRequest" ] ; fhir:path [ fhir:v "MedicationRequest" ] ] [ fhir:id [ fhir:v "MedicationRequest.meta" ] ; fhir:path [ fhir:v "MedicationRequest.meta" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.meta.versionId" ] ; fhir:path [ fhir:v "MedicationRequest.meta.versionId" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.meta.lastUpdated" ] ; fhir:path [ fhir:v "MedicationRequest.meta.lastUpdated" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription" ] ; fhir:path [ fhir:v "MedicationRequest.extension" ] ; fhir:sliceName [ fhir:v "multiplePrescription" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:indicator" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:sliceName [ fhir:v "indicator" ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:indicator.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x]" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:sliceName [ fhir:v "counter" ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x]" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.value" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].numerator.value" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.value" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].denominator.value" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:sliceName [ fhir:v "period" ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x]" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.value[x].start" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].start" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:period.value[x].end" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].end" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension" ] ; fhir:sliceName [ fhir:v "id" ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x]" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].system" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].system" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:multiplePrescription.extension:id.value[x].value" ] ; fhir:path [ fhir:v "MedicationRequest.extension.extension.value[x].value" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:isBvg" ] ; fhir:path [ fhir:v "MedicationRequest.extension" ] ; fhir:sliceName [ fhir:v "isBvg" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.extension:isBvg.value[x]" ] ; fhir:path [ fhir:v "MedicationRequest.extension.value[x]" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.identifier" ] ; fhir:path [ fhir:v "MedicationRequest.identifier" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "pattern" ] ; fhir:path [ fhir:v "$this" ] ] ) ; fhir:description [ fhir:v "ePrescription identifier and overall transaction identifier" ] ; fhir:ordered [ fhir:v false ] ; fhir:rules [ fhir:v "open" ] ] ] [ fhir:id [ fhir:v "MedicationRequest.identifier:RxPrescriptionProcessIdentifier" ] ; fhir:path [ fhir:v "MedicationRequest.identifier" ] ; fhir:sliceName [ fhir:v "RxPrescriptionProcessIdentifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier> ] ) ] ) ; fhir:pattern [ a fhir:Identifier ; fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier"^^xsd:anyURI ] ] ] [ fhir:id [ fhir:v "MedicationRequest.identifier:RxOriginatorProcessIdentifier" ] ; fhir:path [ fhir:v "MedicationRequest.identifier" ] ; fhir:sliceName [ fhir:v "RxOriginatorProcessIdentifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier> ] ) ] ) ; fhir:pattern [ a fhir:Identifier ; fhir:system [ fhir:v "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier"^^xsd:anyURI ] ] ] [ fhir:id [ fhir:v "MedicationRequest.status" ] ; fhir:path [ fhir:v "MedicationRequest.status" ] ; fhir:short [ fhir:v "Status of Medication Request" ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs"^^xsd:anyURI ; fhir:link <https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs> ] ] ] [ fhir:id [ fhir:v "MedicationRequest.intent" ] ; fhir:path [ fhir:v "MedicationRequest.intent" ] ; fhir:short [ fhir:v "filler-order" ] ; fhir:definition [ fhir:v "e.g. when data is synchronized with the E-Rezept-Fachdienst, the 'filler-order' code should be used here." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.medication[x]" ] ; fhir:path [ fhir:v "MedicationRequest.medication[x]" ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Medication"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Medication> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.subject" ] ; fhir:path [ fhir:v "MedicationRequest.subject" ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Patient> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.subject.identifier" ] ; fhir:path [ fhir:v "MedicationRequest.subject.identifier" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://fhir.de/StructureDefinition/identifier-kvid-10"^^xsd:anyURI ; fhir:link <http://fhir.de/StructureDefinition/identifier-kvid-10> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.authoredOn" ] ; fhir:path [ fhir:v "MedicationRequest.authoredOn" ] ; fhir:short [ fhir:v "Issue Date" ] ; fhir:definition [ fhir:v "Issue Date of the Prescription" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.requester" ] ; fhir:path [ fhir:v "MedicationRequest.requester" ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Organization> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.note" ] ; fhir:path [ fhir:v "MedicationRequest.note" ] ; fhir:max [ fhir:v "1" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.note.text" ] ; fhir:path [ fhir:v "MedicationRequest.note.text" ] ; fhir:short [ fhir:v "Dispensing Note" ] ; fhir:definition [ fhir:v "Instructions to the pharmacy that go beyond the dosage information" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction" ] ; fhir:short [ fhir:v "Hier werden Informationen zur Dosierung angegeben." ] ; fhir:definition [ fhir:v "Hier werden Informationen zur Dosierung angegeben." ] ; fhir:max [ fhir:v "1" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.text" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.text" ] ; fhir:short [ fhir:v "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden." ] ; fhir:definition [ fhir:v "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.dosageInstruction.patientInstruction" ] ; fhir:path [ fhir:v "MedicationRequest.dosageInstruction.patientInstruction" ] ; fhir:short [ fhir:v "Instructions for Use" ] ; fhir:definition [ fhir:v "Instructions for Use" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.value" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.value" ] ; fhir:short [ fhir:v "Number of Prescribed Packages" ] ; fhir:definition [ fhir:v "Number of Prescribed Packages" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.system" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.system" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:pattern [ a fhir:uri ; fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.dispenseRequest.quantity.code" ] ; fhir:path [ fhir:v "MedicationRequest.dispenseRequest.quantity.code" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:pattern [ a fhir:code ; fhir:v "{Package}" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.substitution" ] ; fhir:path [ fhir:v "MedicationRequest.substitution" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "MedicationRequest.substitution.allowed[x]" ] ; fhir:path [ fhir:v "MedicationRequest.substitution.allowed[x]" ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] ) ; fhir:mustSupport [ fhir:v true ] ] ) ] . # ( src )
Maaloxan® 25 mVal Sodbrennen Kautabletten Lemon ( src )
Metoprolol-ratiopharm® 100 mg Tabletten ( src )
There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. ( src )
{ "resourceType" : "Bundle", "id" : "example-get-medication-list-bundle1", "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:9e1f5895-ab0b-4237-856d-fa1065631400" }, "type" : "searchset", "timestamp" : "2025-01-01T00:00:00Z", "total" : 16, "link" : [ { "relation" : "self", "url" : "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=0" }, { "relation" : "first", "url" : "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=0" }, { "relation" : "next", "url" : "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=10" }, { "relation" : "last", "url" : "http://epa4all/epa/medication/api/v1/fhir/$medication-list&date=le2025-12-24&date=ge2025-01-01&_count=10&_offset=10" } ], "entry" : [ { "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12", "resource" : { "resourceType" : "Medication", "id" : "2d5a0317-b2df-4d7b-ad72-07f5f66f9f12", "meta" : { "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication" ] }, "extension" : [ { "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension", "valueIdentifier" : { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier", "value" : "160.153.303.260.460_202508220" } } ], "identifier" : [ { "system" : "https://gematik.de/fhir/epa-medication/sid/epa-medication-unique-identifier", "value" : "48E951DFE10F5669D3C66D581E5767DE32CFD788C94693E5C78193DB2D3F095B" }, { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier", "value" : "5a2a0f6c-b1d9-46b9-b377-c61586d1aa1e_160.153.303.260.460" } ], "code" : { "coding" : [ { "system" : "http://fhir.de/CodeSystem/ifa/pzn", "code" : "03953522", "display" : "Metoprolol-ratiopharm® 100 mg Tabletten" }, { "system" : "http://snomed.info/sct", "code" : "7092007", "display" : "Product containing metoprolol (medicinal product)" }, { "system" : "http://fhir.de/CodeSystem/bfarm/atc", "version" : "2022", "code" : "C07AB02", "display" : "Metoprolol" } ] }, "status" : "active", "form" : { "coding" : [ { "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM", "version" : "1.10", "code" : "TAB", "display" : "Tabletten" }, { "system" : "http://snomed.info/sct", "code" : "385055001", "display" : "Tablet (basic dose form)" }, { "system" : "http://standardterms.edqm.eu", "code" : "12200", "display" : "Tablet" } ] }, "amount" : { "numerator" : { "value" : 100, "unit" : "MilliGram", "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "unit" : "Tablet", "system" : "http://unitsofmeasure.org", "code" : "{Tablet}" } } } }, { "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationRequest/ebdd8651-3971-4ecc-b651-8e54083b0339", "resource" : { "resourceType" : "MedicationRequest", "id" : "ebdd8651-3971-4ecc-b651-8e54083b0339", "meta" : { "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request" ] }, "extension" : [ { "extension" : [ { "url" : "indicator", "valueBoolean" : false } ], "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension" } ], "identifier" : [ { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier", "value" : "160.153.303.257.459_20250122" }, { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier", "value" : "6ae6a7ca-c9b5-46bf-9411-2ba49d96f988_160.153.303.257.459" } ], "status" : "completed", "intent" : "order", "medicationReference" : { "reference" : "Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12" }, "subject" : { "identifier" : { "system" : "http://fhir.de/sid/gkv/kvid-10", "value" : "X110411319" } }, "authoredOn" : "2025-08-22", "requester" : { 🔗 "reference" : "Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c" }, "dosageInstruction" : [ { "text" : "1-1-1-0" } ], "dispenseRequest" : { "quantity" : { "value" : 1, "system" : "http://unitsofmeasure.org", "code" : "{Package}" } }, "substitution" : { "allowedBoolean" : false } } }, { "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/MedicationDispense/158311c5-c2da-4e2a-ac0b-0d54c9fe419c", "resource" : { "resourceType" : "MedicationDispense", "id" : "158311c5-c2da-4e2a-ac0b-0d54c9fe419c", "meta" : { "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-dispense" ] }, "extension" : [ { "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier-extension", "valueIdentifier" : { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier", "value" : "160.153.303.260.460_202508220" } } ], "identifier" : [ { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier", "value" : "014e141a-df43-447c-927e-9d83ef7eddb3_160.153.303.260.460" } ], "status" : "completed", "medicationReference" : { "reference" : "Medication/2d5a0317-b2df-4d7b-ad72-07f5f66f9f12" }, "subject" : { "identifier" : { "system" : "http://fhir.de/sid/gkv/kvid-10", "value" : "X110411319" } }, "performer" : [ { "actor" : { 🔗 "reference" : "Organization/151f1697-7512-4e21-9466-1b75207475d8" } } ], "whenHandedOver" : "2025-08-22", "dosageInstruction" : [ { "text" : "1-0-0-0" } ], "substitution" : { "wasSubstituted" : false } } }, { "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/PractitionerRole/73a551f8-d8cd-4b44-823d-ab5f8aeab1aa", "resource" : { "resourceType" : "PractitionerRole", "id" : "73a551f8-d8cd-4b44-823d-ab5f8aeab1aa", "practitioner" : { 🔗 "reference" : "Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c", "identifier" : { "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "version" : "2.9.0", "code" : "PRN", "display" : "Provider number" } ] }, "system" : "https://gematik.de/fhir/sid/telematik-id", "value" : "1-1.58.00000040" } }, "organization" : { 🔗 "reference" : "Organization/be51e0d2-783d-4e21-b16b-1a4cd7403515", "identifier" : { "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "version" : "2.9.0", "code" : "PRN", "display" : "Provider number" } ] }, "system" : "https://gematik.de/fhir/sid/telematik-id", "value" : "9-2.58.00000040" } } } }, { "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Organization/be51e0d2-783d-4e21-b16b-1a4cd7403515", "resource" : { "resourceType" : "Organization", "id" : "be51e0d2-783d-4e21-b16b-1a4cd7403515", "meta" : { "profile" : [ 🔗 "https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory" ], "tag" : [ { "system" : "https://gematik.de/fhir/directory/CodeSystem/Origin", "code" : "ldap" } ] }, "identifier" : [ { "system" : "https://gematik.de/fhir/sid/telematik-id", "value" : "9-2.58.00000040" } ], "active" : true, "type" : [ { "coding" : [ { "system" : "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID", "code" : "1.2.276.0.76.4.58", "display" : "Betriebsstätte gematik" } ] } ], "name" : "gematik GmbH", "alias" : [ "gematik" ], "address" : [ { "text" : "gematik GmbH\nFriedrichstr. 136,\n10117 Berlin", "line" : [ "Friedrichstr. 136" ], "city" : "Berlin", "district" : "Mitte", "state" : "Berlin", "postalCode" : "10117", "country" : "DE" } ], "contact" : [ { "purpose" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type", "code" : "ADMIN" } ] }, "name" : { "text" : "gematik ITSM" }, "telecom" : [ { "system" : "email", "value" : "betrieb@gematik.de" } ] } ] } }, { "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Practitioner/498c345f-31f5-4da6-9f04-00fa2bc8af7c", "resource" : { "resourceType" : "Practitioner", "id" : "498c345f-31f5-4da6-9f04-00fa2bc8af7c", "meta" : { "profile" : [ 🔗 "https://gematik.de/fhir/directory/StructureDefinition/PractitionerDirectory" ], "tag" : [ { "system" : "https://gematik.de/fhir/directory/CodeSystem/Origin", "code" : "ldap" } ] }, "identifier" : [ { "system" : "https://gematik.de/fhir/sid/telematik-id", "value" : "1-1.58.00000040" }, { "system" : "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_ANR", "value" : "123456789" } ], "active" : true, "name" : [ { "text" : "Dr. Max Manfred Mustermann", "family" : "Musterman", "given" : [ "Max", "Manfred" ], "prefix" : [ "Dr." ] } ], "qualification" : [ { "code" : { "coding" : [ { "system" : "https://gematik.de/fhir/directory/CodeSystem/PractitionerProfessionOID", "code" : "1.2.276.0.76.4.31" } ] } }, { "code" : { "coding" : [ { "system" : "urn:oid:1.2.276.0.76.5.514", "code" : "011001", "display" : "FA Allgemeinmedizin" } ] } }, { "code" : { "coding" : [ { "system" : "urn:oid:1.2.276.0.76.5.514", "code" : "141104", "display" : "FA Innere Medizin und Schwerpunkt Gastroenterologie" } ] } } ] } }, { "fullUrl" : "http://epa4all/epa/medication/api/v1/fhir/Organization/151f1697-7512-4e21-9466-1b75207475d8", "resource" : { "resourceType" : "Organization", "id" : "151f1697-7512-4e21-9466-1b75207475d8", "meta" : { "profile" : [ 🔗 "https://gematik.de/fhir/directory/StructureDefinition/OrganizationDirectory" ], "tag" : [ { "system" : "https://gematik.de/fhir/directory/CodeSystem/Origin", "code" : "ldap" } ] }, "identifier" : [ { "system" : "https://gematik.de/fhir/sid/telematik-id", "value" : "9-2.58.00000040" } ], "active" : true, "type" : [ { "coding" : [ { "system" : "https://gematik.de/fhir/directory/CodeSystem/OrganizationProfessionOID", "code" : "1.2.276.0.76.4.54", "display" : "Öffentliche Apotheke" } ] } ], "name" : "gematik Apotheke", "alias" : [ "Apotheke" ], "address" : [ { "text" : "gematik Apotheke\nFriedrichstr. 136,\n10117 Berlin", "line" : [ "Friedrichstr. 136" ], "city" : "Berlin", "district" : "Mitte", "state" : "Berlin", "postalCode" : "10117", "country" : "DE" } ], "contact" : [ { "purpose" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type", "code" : "ADMIN" } ] }, "name" : { "text" : "gematik ITSM" }, "telecom" : [ { "system" : "email", "value" : "betrieb@gematik.de" } ] } ] } } ] } ( src )
{ "resourceType" : "Medication", "id" : "ExampleEPAMedicationMax", "meta" : { "versionId" : "1", "lastUpdated" : "2023-02-03T11:30:00+01:00", "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication" ] }, "extension" : [ { "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-type-extension", "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "373873005", "display" : "Pharmaceutical / biologic product (product)" } } ], "code" : { "coding" : [ { "system" : "http://fhir.de/CodeSystem/ifa/pzn", "version" : "1.5.0", "code" : "9717395", "display" : "Maaloxan® 25 mVal Sodbrennen Kautabletten Lemon" }, { "system" : "http://fhir.de/CodeSystem/bfarm/atc", "code" : "A02AD10", "display" : "Aluminiumoxid in Kombination mit Magnesiumhydroxid" }, { "system" : "http://fhir.de/CodeSystem/ask", "code" : "2250", "display" : "Magnesiumhydroxid" }, { "system" : "http://snomed.info/sct", "code" : "418673005", "display" : "Product containing aluminium oxide (medicinal product)" } ], "text" : "Maaloxan® 25 mVal Sodbrennen Kautabletten Lemon" }, "status" : "active", "manufacturer" : { "display" : "Praxis Dr. med. Hans Topp-Glücklich" }, "form" : { "coding" : [ { "system" : "http://standardterms.edqm.eu", "code" : "10228000", "display" : "Chewable tablet" }, { "system" : "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_DARREICHUNGSFORM", "code" : "KTA", "display" : "Kautabletten" }, { "system" : "http://snomed.info/sct", "code" : "66076007", "display" : "Conventional release chewable tablet (dose form)" } ] }, "amount" : { "numerator" : { "value" : 30, "unit" : "Tabletten", "system" : "http://unitsofmeasure.org", "code" : "{Tabletten}" }, "denominator" : { "value" : 1, "unit" : "Package", "system" : "http://unitsofmeasure.org", "code" : "{Package}" } }, "ingredient" : [ { "itemCodeableConcept" : { "coding" : [ { "system" : "http://fhir.de/CodeSystem/ask", "code" : "2250", "display" : "Magnesiumhydroxid" }, { "system" : "http://fhir.de/CodeSystem/bfarm/atc", "code" : "A02AA04", "display" : "Magnesiumhydroxid" }, { "system" : "http://snomed.info/sct", "code" : "387337001", "display" : "Magnesium hydroxide (substance)" } ] }, "strength" : { "numerator" : { "value" : 400, "unit" : "milligramm", "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "unit" : "Tabletten", "system" : "http://unitsofmeasure.org", "code" : "{Tabletten}" } } }, { "itemCodeableConcept" : { "coding" : [ { "system" : "http://fhir.de/CodeSystem/ask", "code" : "1253", "display" : "Algeldrat" }, { "system" : "http://fhir.de/CodeSystem/bfarm/atc", "code" : "A02AB01", "display" : "Aluminiumhydroxid" }, { "system" : "http://snomed.info/sct", "code" : "273944007", "display" : "Aluminium hydroxide (substance)" } ] }, "strength" : { "numerator" : { "value" : 400, "unit" : "milligramm", "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "unit" : "Tabletten", "system" : "http://unitsofmeasure.org", "code" : "{Tabletten}" } } } ] } ( src )
{ "resourceType" : "StructureDefinition", "id" : "epa-medication-request", "url" : "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-medication-request", "version" : "1.0.5-1", "name" : "EPAMedicationRequest", "title" : "EPA MedicationRequest", "status" : "active", "experimental" : false, "date" : "2025-02-28", "publisher" : "gematik GmbH", "contact" : [ { "name" : "gematik GmbH", "telecom" : [ { "system" : "url", "value" : "https://www.gematik.de" }, { "system" : "email", "value" : "patientteam [ at ] gematik.de" } ] } ], "description" : "Defines the medication request resource for the Medication Service in the ePA system.", "jurisdiction" : [ { "coding" : [ { "system" : "urn:iso:std:iso:3166", "code" : "DE" } ] } ], "fhirVersion" : "4.0.1", "mapping" : [ { "identity" : "workflow", "uri" : "http://hl7.org/fhir/workflow", "name" : "Workflow Pattern" }, { "identity" : "script10.6", "uri" : "http://ncpdp.org/SCRIPT10_6", "name" : "Mapping to NCPDP SCRIPT 10.6" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }, { "identity" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 v2 Mapping" } ], "kind" : "resource", "abstract" : false, "type" : "MedicationRequest", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "derivation" : "constraint", "snapshot" : { "extension" : [ { "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "4.0.1" } ], "element" : [ { "id" : "MedicationRequest", "path" : "MedicationRequest", "short" : "Ordering of medication for patient or group", "definition" : "An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called \"MedicationRequest\" rather than \"MedicationPrescription\" or \"MedicationOrder\" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.", "alias" : [ "Prescription", "Order" ], "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest", "min" : 0, "max" : "*" }, "constraint" : [ { "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "xpath" : "not(parent::f:contained and f:contained)", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.`div`.exists()", "xpath" : "exists(f:text/h:div)", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:security))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "mapping" : [ { "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "workflow", "map" : "Request" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx" }, { "identity" : "rim", "map" : "CombinedMedicationRequest" } ] }, { "id" : "MedicationRequest.id", "path" : "MedicationRequest.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "isSummary" : true }, { "id" : "MedicationRequest.meta", "path" : "MedicationRequest.meta", "short" : "Metadata about the resource", "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Meta" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.meta.id", "path" : "MedicationRequest.meta.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.meta.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.meta.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.meta.versionId", "path" : "MedicationRequest.meta.versionId", "short" : "Version specific identifier", "definition" : "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.", "comment" : "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.versionId", "min" : 0, "max" : "1" }, "type" : [ { "code" : "id" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.meta.lastUpdated", "path" : "MedicationRequest.meta.lastUpdated", "short" : "When the resource version last changed", "definition" : "When the resource last changed - e.g. when the version changed.", "comment" : "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.lastUpdated", "min" : 0, "max" : "1" }, "type" : [ { "code" : "instant" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.meta.source", "path" : "MedicationRequest.meta.source", "short" : "Identifies where the resource comes from", "definition" : "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.", "comment" : "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.source", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.meta.profile", "path" : "MedicationRequest.meta.profile", "short" : "Profiles this resource claims to conform to", "definition" : "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).", "comment" : "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.profile", "min" : 0, "max" : "*" }, "type" : [ { "code" : "canonical", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/StructureDefinition" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.meta.security", "path" : "MedicationRequest.meta.security", "short" : "Security Labels applied to this resource", "definition" : "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.", "comment" : "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.security", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SecurityLabels" } ], "strength" : "extensible", "description" : "Security Labels from the Healthcare Privacy and Security Classification System.", "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity" : "rim", "map" : "CV" }, { "identity" : "orim", "map" : "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id" : "MedicationRequest.meta.tag", "path" : "MedicationRequest.meta.tag", "short" : "Tags applied to this resource", "definition" : "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.", "comment" : "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.tag", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Tags" } ], "strength" : "example", "description" : "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".", "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity" : "rim", "map" : "CV" }, { "identity" : "orim", "map" : "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id" : "MedicationRequest.implicitRules", "path" : "MedicationRequest.implicitRules", "short" : "A set of rules under which this content was created", "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.language", "path" : "MedicationRequest.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" } ], "strength" : "preferred", "description" : "A human language.", "valueSet" : "http://hl7.org/fhir/ValueSet/languages" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.text", "path" : "MedicationRequest.text", "short" : "Text summary of the resource, for human interpretation", "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias" : [ "narrative", "html", "xhtml", "display" ], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.text?" } ] }, { "id" : "MedicationRequest.contained", "path" : "MedicationRequest.contained", "short" : "Contained, inline Resources", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias" : [ "inline resources", "anonymous resources", "contained resources" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Resource" } ], "mapping" : [ { "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription", "path" : "MedicationRequest.extension", "sliceName" : "multiplePrescription", "short" : "MultiplePrescription", "definition" : "This FHIR Extension for multiple prescriptions adds details such as repetition count and time intervals for repeated medication orders to FHIR resources.", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.id", "path" : "MedicationRequest.extension.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension", "path" : "MedicationRequest.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "closed" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:indicator", "path" : "MedicationRequest.extension.extension", "sliceName" : "indicator", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:indicator.id", "path" : "MedicationRequest.extension.extension.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:indicator.extension", "path" : "MedicationRequest.extension.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:indicator.url", "path" : "MedicationRequest.extension.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "fixedUri" : "indicator", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:indicator.value[x]", "path" : "MedicationRequest.extension.extension.value[x]", "short" : "Multiple Prescription Indicator", "definition" : "Indicator of whether the current prescription is part of a multiple prescription\r\n\r\ntrue - the current prescription is part of a multiple prescription \r\nfalse - the current prescription is not part of a multiple prescription", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter", "path" : "MedicationRequest.extension.extension", "sliceName" : "counter", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.id", "path" : "MedicationRequest.extension.extension.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.extension", "path" : "MedicationRequest.extension.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.url", "path" : "MedicationRequest.extension.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "fixedUri" : "counter", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x]", "path" : "MedicationRequest.extension.extension.value[x]", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Ratio" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].id", "path" : "MedicationRequest.extension.extension.value[x].id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.extension.extension.value[x].extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator", "path" : "MedicationRequest.extension.extension.value[x].numerator", "short" : "Numerator value", "definition" : "The value of the numerator.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 1, "max" : "1", "base" : { "path" : "Ratio.numerator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : ".numerator" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.id", "path" : "MedicationRequest.extension.extension.value[x].numerator.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.extension.extension.value[x].numerator.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.value", "path" : "MedicationRequest.extension.extension.value[x].numerator.value", "short" : "Multiple Prescription Counter", "definition" : "The field serves to indicate which number in a series of multiple prescriptions it is. Example: \"2\" in \"2 out of 4\"", "comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).", "requirements" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [ { "code" : "decimal" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.comparator", "path" : "MedicationRequest.extension.extension.value[x].numerator.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" } ], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.unit", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "MedicationRequest.extension.extension.value[x].numerator.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.system", "path" : "MedicationRequest.extension.extension.value[x].numerator.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "comment" : "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1", "qty-3" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.code", "path" : "MedicationRequest.extension.extension.value[x].numerator.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.", "requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator", "path" : "MedicationRequest.extension.extension.value[x].denominator", "short" : "Denominator value", "definition" : "The value of the denominator.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 1, "max" : "1", "base" : { "path" : "Ratio.denominator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : ".denominator" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.id", "path" : "MedicationRequest.extension.extension.value[x].denominator.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.extension.extension.value[x].denominator.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.value", "path" : "MedicationRequest.extension.extension.value[x].denominator.value", "short" : "Denominator of Multiple Prescription Series", "definition" : "The field serves to indicate the length of this series. Example: \"4\" in \"2 out of 4\"", "comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).", "requirements" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [ { "code" : "decimal" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.comparator", "path" : "MedicationRequest.extension.extension.value[x].denominator.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" } ], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.unit", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "MedicationRequest.extension.extension.value[x].denominator.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.system", "path" : "MedicationRequest.extension.extension.value[x].denominator.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "comment" : "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1", "qty-3" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.code", "path" : "MedicationRequest.extension.extension.value[x].denominator.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.", "requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period", "path" : "MedicationRequest.extension.extension", "sliceName" : "period", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.id", "path" : "MedicationRequest.extension.extension.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.extension", "path" : "MedicationRequest.extension.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.url", "path" : "MedicationRequest.extension.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "fixedUri" : "period", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.value[x]", "path" : "MedicationRequest.extension.extension.value[x]", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Period" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "-limitationDateStart", "severity" : "error", "human" : "Limitation of the date format to 10 characters YYYY-MM-DD", "expression" : "start.toString().length()=10", "source" : "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension" }, { "key" : "-limitationDateEnd", "severity" : "error", "human" : "Limitation of the date format to 10 characters YYYY-MM-DD", "expression" : "end.exists().not() or end.toString().length()=10", "source" : "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.value[x].id", "path" : "MedicationRequest.extension.extension.value[x].id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.value[x].extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.extension.extension.value[x].extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.value[x].start", "path" : "MedicationRequest.extension.extension.value[x].start", "short" : "Start Date of the Prescription Redemption Period", "definition" : "Date from which the partial prescription of the multiple prescription can be redeemed", "comment" : "If the low element is missing, the meaning is that the low boundary is not known.", "min" : 1, "max" : "1", "base" : { "path" : "Period.start", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" } ], "condition" : [ "ele-1", "per-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "DR.1" }, { "identity" : "rim", "map" : "./low" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.value[x].end", "path" : "MedicationRequest.extension.extension.value[x].end", "short" : "End Date of the Prescription Redemption Period", "definition" : "Date of the last redemption day for the partial prescription within the multiple prescription series. \nThe issuer may specify a redemption period different from the one outlined in the Medicinal Products Prescription Ordinance (AMVV)", "comment" : "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min" : 0, "max" : "1", "base" : { "path" : "Period.end", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" } ], "meaningWhenMissing" : "If the end of the period is missing, it means that the period is ongoing", "condition" : [ "ele-1", "per-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "DR.2" }, { "identity" : "rim", "map" : "./high" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id", "path" : "MedicationRequest.extension.extension", "sliceName" : "id", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.id", "path" : "MedicationRequest.extension.extension.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.extension", "path" : "MedicationRequest.extension.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.url", "path" : "MedicationRequest.extension.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "fixedUri" : "id", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x]", "path" : "MedicationRequest.extension.extension.value[x]", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].id", "path" : "MedicationRequest.extension.extension.value[x].id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.extension.extension.value[x].extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].use", "path" : "MedicationRequest.extension.extension.value[x].use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" } ], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].type", "path" : "MedicationRequest.extension.extension.value[x].type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" } ], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].system", "path" : "MedicationRequest.extension.extension.value[x].system", "short" : "Specification as UUID", "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "urn:ietf:rfc:3986", "example" : [ { "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].value", "path" : "MedicationRequest.extension.extension.value[x].value", "short" : "Multiple Prescription ID", "definition" : "A unique ID that is identical across all partial prescriptions of a multiple prescription.", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "example" : [ { "label" : "General", "valueString" : "123456" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].period", "path" : "MedicationRequest.extension.extension.value[x].period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "comment" : "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Period" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "per-1", "severity" : "error", "human" : "If present, start SHALL have a lower value than end", "expression" : "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath" : "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source" : "http://hl7.org/fhir/StructureDefinition/Library" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "DR" }, { "identity" : "rim", "map" : "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].assigner", "path" : "MedicationRequest.extension.extension.value[x].assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.url", "path" : "MedicationRequest.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "fixedUri" : "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:multiplePrescription.value[x]", "path" : "MedicationRequest.extension.value[x]", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 0, "max" : "0", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "base64Binary" }, { "code" : "boolean" }, { "code" : "canonical" }, { "code" : "code" }, { "code" : "date" }, { "code" : "dateTime" }, { "code" : "decimal" }, { "code" : "id" }, { "code" : "instant" }, { "code" : "integer" }, { "code" : "markdown" }, { "code" : "oid" }, { "code" : "positiveInt" }, { "code" : "string" }, { "code" : "time" }, { "code" : "unsignedInt" }, { "code" : "uri" }, { "code" : "url" }, { "code" : "uuid" }, { "code" : "Address" }, { "code" : "Age" }, { "code" : "Annotation" }, { "code" : "Attachment" }, { "code" : "CodeableConcept" }, { "code" : "Coding" }, { "code" : "ContactPoint" }, { "code" : "Count" }, { "code" : "Distance" }, { "code" : "Duration" }, { "code" : "HumanName" }, { "code" : "Identifier" }, { "code" : "Money" }, { "code" : "Period" }, { "code" : "Quantity" }, { "code" : "Range" }, { "code" : "Ratio" }, { "code" : "Reference" }, { "code" : "SampledData" }, { "code" : "Signature" }, { "code" : "Timing" }, { "code" : "ContactDetail" }, { "code" : "Contributor" }, { "code" : "DataRequirement" }, { "code" : "Expression" }, { "code" : "ParameterDefinition" }, { "code" : "RelatedArtifact" }, { "code" : "TriggerDefinition" }, { "code" : "UsageContext" }, { "code" : "Dosage" }, { "code" : "Meta" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:isBvg", "path" : "MedicationRequest.extension", "sliceName" : "isBvg", "short" : "Extension", "definition" : "Indicator of whether this regulation is made in reference to the 'Bundesentschädigungsgesetz' or the 'Bundesversorgungsgesetz'.", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true }, { "id" : "MedicationRequest.extension:isBvg.id", "path" : "MedicationRequest.extension.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.extension:isBvg.extension", "path" : "MedicationRequest.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ] }, { "id" : "MedicationRequest.extension:isBvg.url", "path" : "MedicationRequest.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "fixedUri" : "https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension", "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.extension:isBvg.value[x]", "path" : "MedicationRequest.extension.value[x]", "short" : "BVG", "definition" : "Indicator of whether this regulation applies to claimants under the 'Bundesentschädigungsgesetz' (BEG) or to claimants under the 'Bundesversorgungsgesetz' (BVG).\n\r\n\r\nfalse - not BVG (default value)\n\r\ntrue - BVG", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.modifierExtension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.modifierExtension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.identifier", "path" : "MedicationRequest.identifier", "slicing" : { "discriminator" : [ { "type" : "pattern", "path" : "$this" } ], "description" : "ePrescription identifier and overall transaction identifier", "ordered" : false, "rules" : "open" }, "short" : "External ids for this request", "definition" : "Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.", "comment" : "This is a business identifier, not a resource identifier.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.identifier", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Identifier" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity" : "rim", "map" : "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity" : "servd", "map" : "Identifier" }, { "identity" : "workflow", "map" : "Request.identifier" }, { "identity" : "script10.6", "map" : "Message/Header/PrescriberOrderNumber" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number" }, { "identity" : "rim", "map" : ".id" } ] }, { "id" : "MedicationRequest.identifier:RxPrescriptionProcessIdentifier", "path" : "MedicationRequest.identifier", "sliceName" : "RxPrescriptionProcessIdentifier", "short" : "External ids for this request", "definition" : "Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.", "comment" : "This is a business identifier, not a resource identifier.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.identifier", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Identifier", "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier" ] } ], "patternIdentifier" : { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier" }, "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity" : "rim", "map" : "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity" : "servd", "map" : "Identifier" }, { "identity" : "workflow", "map" : "Request.identifier" }, { "identity" : "script10.6", "map" : "Message/Header/PrescriberOrderNumber" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number" }, { "identity" : "rim", "map" : ".id" } ] }, { "id" : "MedicationRequest.identifier:RxOriginatorProcessIdentifier", "path" : "MedicationRequest.identifier", "sliceName" : "RxOriginatorProcessIdentifier", "short" : "External ids for this request", "definition" : "Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.", "comment" : "This is a business identifier, not a resource identifier.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.identifier", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Identifier", "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier" ] } ], "patternIdentifier" : { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier" }, "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity" : "rim", "map" : "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity" : "servd", "map" : "Identifier" }, { "identity" : "workflow", "map" : "Request.identifier" }, { "identity" : "script10.6", "map" : "Message/Header/PrescriberOrderNumber" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number" }, { "identity" : "rim", "map" : ".id" } ] }, { "id" : "MedicationRequest.status", "path" : "MedicationRequest.status", "short" : "Status of Medication Request", "definition" : "A code specifying the current state of the order. Generally, this will be active or completed state.", "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.status", "min" : 1, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "workflow", "map" : "Request.status" }, { "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "w5", "map" : "FiveWs.status" }, { "identity" : "rim", "map" : ".statusCode" } ] }, { "id" : "MedicationRequest.statusReason", "path" : "MedicationRequest.statusReason", "short" : "Reason for current status", "definition" : "Captures the reason for the current state of the MedicationRequest.", "comment" : "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.statusReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestStatusReason" } ], "strength" : "example", "description" : "Identifies the reasons for a given status.", "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-status-reason" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "workflow", "map" : "Request.statusReason" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" } ] }, { "id" : "MedicationRequest.intent", "path" : "MedicationRequest.intent", "short" : "filler-order", "definition" : "e.g. when data is synchronized with the E-Rezept-Fachdienst, the 'filler-order' code should be used here.", "comment" : "It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.\r\rAn instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.\r\rThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.intent", "min" : 1, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isModifier" : true, "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestIntent" } ], "strength" : "required", "description" : "The kind of medication order.", "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "workflow", "map" : "Request.intent" }, { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)" } ] }, { "id" : "MedicationRequest.category", "path" : "MedicationRequest.category", "short" : "Type of medication usage", "definition" : "Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).", "comment" : "The category can be used to include where the medication is expected to be consumed or other types of requests.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.category", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestCategory" } ], "strength" : "example", "description" : "A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.", "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-category" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG" }, { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value" } ] }, { "id" : "MedicationRequest.priority", "path" : "MedicationRequest.priority", "short" : "routine | urgent | asap | stat", "definition" : "Indicates how quickly the Medication Request should be addressed with respect to other requests.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.priority", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestPriority" } ], "strength" : "required", "description" : "Identifies the level of importance to be assigned to actioning the request.", "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "workflow", "map" : "Request.priority" }, { "identity" : "w5", "map" : "FiveWs.grade" }, { "identity" : "rim", "map" : ".priorityCode" } ] }, { "id" : "MedicationRequest.doNotPerform", "path" : "MedicationRequest.doNotPerform", "short" : "True if request is prohibiting action", "definition" : "If true indicates that the provider is asking for the medication request not to occur.", "comment" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\".", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.doNotPerform", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "SubstanceAdministration.actionNegationInd" } ] }, { "id" : "MedicationRequest.reported[x]", "path" : "MedicationRequest.reported[x]", "short" : "Reported rather than primary record", "definition" : "Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.reported[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" }, { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Patient"🔗 , "http://hl7.org/fhir/StructureDefinition/Practitioner"🔗 , "http://hl7.org/fhir/StructureDefinition/PractitionerRole"🔗 , "http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 , "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : ".participation[typeCode=INF].role" } ] }, { "id" : "MedicationRequest.medication[x]", "path" : "MedicationRequest.medication[x]", "short" : "Medication to be taken", "definition" : "Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.", "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.medication[x]", "min" : 1, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Medication" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "workflow", "map" : "Request.code" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription" }, { "identity" : "w5", "map" : "FiveWs.what[x]" }, { "identity" : "v2", "map" : "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code" }, { "identity" : "rim", "map" : "consumable.administrableMedication" } ] }, { "id" : "MedicationRequest.subject", "path" : "MedicationRequest.subject", "short" : "Who or group medication request is for", "definition" : "A link to a resource representing the person or set of individuals to whom the medication will be given.", "comment" : "The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.subject", "min" : 1, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.subject" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "v2", "map" : "PID-3-Patient ID List" }, { "identity" : "rim", "map" : ".participation[typeCode=AUT].role" }, { "identity" : "w5", "map" : "FiveWs.subject" } ] }, { "id" : "MedicationRequest.subject.id", "path" : "MedicationRequest.subject.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.subject.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.subject.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.subject.reference", "path" : "MedicationRequest.subject.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1", "ref-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.subject.type", "path" : "MedicationRequest.subject.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" } ], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.subject.identifier", "path" : "MedicationRequest.subject.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 1, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier", "profile" : [ 🔗 "http://fhir.de/StructureDefinition/identifier-kvid-10" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity" : "rim", "map" : "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity" : "servd", "map" : "Identifier" }, { "identity" : "rim", "map" : ".identifier" } ] }, { "id" : "MedicationRequest.subject.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "MedicationRequest.subject.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.encounter", "path" : "MedicationRequest.encounter", "short" : "Encounter created as part of encounter/admission/stay", "definition" : "The Encounter during which this [x] was created or to which the creation of this record is tightly associated.", "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.\" If there is a need to link to episodes of care they will be handled with an extension.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.encounter", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Encounter" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.context" }, { "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "v2", "map" : "PV1-19-Visit Number" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]" } ] }, { "id" : "MedicationRequest.supportingInformation", "path" : "MedicationRequest.supportingInformation", "short" : "Information to support ordering of the medication", "definition" : "Include additional information (for example, patient height and weight) that supports the ordering of the medication.", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.supportingInformation", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.supportingInfo" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]" } ] }, { "id" : "MedicationRequest.authoredOn", "path" : "MedicationRequest.authoredOn", "short" : "Issue Date", "definition" : "Issue Date of the Prescription", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.authoredOn", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "workflow", "map" : "Request.authoredOn" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/WrittenDate" }, { "identity" : "w5", "map" : "FiveWs.recorded" }, { "identity" : "v2", "map" : "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction" }, { "identity" : "rim", "map" : "author.time" } ] }, { "id" : "MedicationRequest.requester", "path" : "MedicationRequest.requester", "short" : "Who/What requested the Request", "definition" : "The individual, organization, or device that initiated the request and has responsibility for its activation.", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.requester", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Organization"🔗 , "http://hl7.org/fhir/StructureDefinition/Practitioner"🔗 , "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.requester" }, { "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=AUT].role" } ] }, { "id" : "MedicationRequest.performer", "path" : "MedicationRequest.performer", "short" : "Intended performer of administration", "definition" : "The specified desired performer of the medication treatment (e.g. the performer of the medication administration).", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.performer", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Practitioner"🔗 , "http://hl7.org/fhir/StructureDefinition/PractitionerRole"🔗 , "http://hl7.org/fhir/StructureDefinition/Organization"🔗 , "http://hl7.org/fhir/StructureDefinition/Patient"🔗 , "http://hl7.org/fhir/StructureDefinition/Device"🔗 , "http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 , "http://hl7.org/fhir/StructureDefinition/CareTeam" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.performer" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" } ] }, { "id" : "MedicationRequest.performerType", "path" : "MedicationRequest.performerType", "short" : "Desired kind of performer of the medication administration", "definition" : "Indicates the type of performer of the administration of the medication.", "comment" : "If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.performerType", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestPerformerType" } ], "strength" : "example", "description" : "Identifies the type of individual that is desired to administer the medication.", "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "workflow", "map" : "Request.performerType" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code" } ] }, { "id" : "MedicationRequest.recorder", "path" : "MedicationRequest.recorder", "short" : "Person who entered the request", "definition" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.recorder", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Practitioner"🔗 , "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "w5", "map" : "FiveWs.who" }, { "identity" : "rim", "map" : ".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)" } ] }, { "id" : "MedicationRequest.reasonCode", "path" : "MedicationRequest.reasonCode", "short" : "Reason or indication for ordering or not ordering the medication", "definition" : "The reason or the indication for ordering or not ordering the medication.", "comment" : "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.reasonCode", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestReason" } ], "strength" : "example", "description" : "A coded concept indicating why the medication was ordered.", "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "workflow", "map" : "Request.reasonCode" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "v2", "map" : "ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication" }, { "identity" : "rim", "map" : "reason.observation.reasonCode" } ] }, { "id" : "MedicationRequest.reasonReference", "path" : "MedicationRequest.reasonReference", "short" : "Condition or observation that supports why the prescription is being written", "definition" : "Condition or observation that supports why the medication was ordered.", "comment" : "This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.reasonReference", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Condition"🔗 , "http://hl7.org/fhir/StructureDefinition/Observation" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.reasonReference" }, { "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "rim", "map" : "reason.observation[code=ASSERTION].value" } ] }, { "id" : "MedicationRequest.instantiatesCanonical", "path" : "MedicationRequest.instantiatesCanonical", "short" : "Instantiates FHIR protocol or definition", "definition" : "The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.", "comment" : "see [Canonical References](http://hl7.org/fhir/R4/references.html#canonical)", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.instantiatesCanonical", "min" : 0, "max" : "*" }, "type" : [ { "code" : "canonical" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "workflow", "map" : "Request.instantiates" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id" : "MedicationRequest.instantiatesUri", "path" : "MedicationRequest.instantiatesUri", "short" : "Instantiates external protocol or definition", "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.", "comment" : "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.instantiatesUri", "min" : 0, "max" : "*" }, "type" : [ { "code" : "uri" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id" : "MedicationRequest.basedOn", "path" : "MedicationRequest.basedOn", "short" : "What request fulfills", "definition" : "A plan or request that is fulfilled in whole or in part by this medication request.", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.basedOn", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/CarePlan"🔗 , "http://hl7.org/fhir/StructureDefinition/MedicationRequest"🔗 , "http://hl7.org/fhir/StructureDefinition/ServiceRequest"🔗 , "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.basedOn" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]" } ] }, { "id" : "MedicationRequest.groupIdentifier", "path" : "MedicationRequest.groupIdentifier", "short" : "Composite request this is part of", "definition" : "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.", "requirements" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.groupIdentifier", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity" : "rim", "map" : "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity" : "servd", "map" : "Identifier" }, { "identity" : "workflow", "map" : "Request.groupIdentifier" }, { "identity" : "rim", "map" : ".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id" } ] }, { "id" : "MedicationRequest.courseOfTherapyType", "path" : "MedicationRequest.courseOfTherapyType", "short" : "Overall pattern of medication administration", "definition" : "The description of the overall patte3rn of the administration of the medication to the patient.", "comment" : "This attribute should not be confused with the protocol of the medication.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.courseOfTherapyType", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestCourseOfTherapy" } ], "strength" : "example", "description" : "Identifies the overall pattern of medication administratio.", "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "rim", "map" : "Act.code where classCode = LIST and moodCode = EVN" } ] }, { "id" : "MedicationRequest.insurance", "path" : "MedicationRequest.insurance", "short" : "Associated insurance coverage", "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.insurance", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Coverage"🔗 , "http://hl7.org/fhir/StructureDefinition/ClaimResponse" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.insurance" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COVBY].target" } ] }, { "id" : "MedicationRequest.note", "path" : "MedicationRequest.note", "short" : "Information about the prescription", "definition" : "Extra information about the prescription that could not be conveyed by the other attributes.", "comment" : "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.note", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Annotation" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act" }, { "identity" : "workflow", "map" : "Request.note" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Note" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value" } ] }, { "id" : "MedicationRequest.note.id", "path" : "MedicationRequest.note.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.note.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.note.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.note.author[x]", "path" : "MedicationRequest.note.author[x]", "short" : "Individual responsible for the annotation", "definition" : "The individual responsible for making the annotation.", "comment" : "Organization is used when there's no need for specific attribution as to who made the comment.", "min" : 0, "max" : "1", "base" : { "path" : "Annotation.author[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Practitioner"🔗 , "http://hl7.org/fhir/StructureDefinition/Patient"🔗 , "http://hl7.org/fhir/StructureDefinition/RelatedPerson"🔗 , "http://hl7.org/fhir/StructureDefinition/Organization" ] }, { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.participant[typeCode=AUT].role" } ] }, { "id" : "MedicationRequest.note.time", "path" : "MedicationRequest.note.time", "short" : "When the annotation was made", "definition" : "Indicates when this particular annotation was made.", "min" : 0, "max" : "1", "base" : { "path" : "Annotation.time", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.effectiveTime" } ] }, { "id" : "MedicationRequest.note.text", "path" : "MedicationRequest.note.text", "short" : "Dispensing Note", "definition" : "Instructions to the pharmacy that go beyond the dosage information", "comment" : "Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/", "min" : 1, "max" : "1", "base" : { "path" : "Annotation.text", "min" : 1, "max" : "1" }, "type" : [ { "code" : "markdown" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.text" } ] }, { "id" : "MedicationRequest.dosageInstruction", "path" : "MedicationRequest.dosageInstruction", "short" : "Hier werden Informationen zur Dosierung angegeben.", "definition" : "Hier werden Informationen zur Dosierung angegeben.", "comment" : "There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, \"Ondansetron 8mg orally or IV twice a day as needed for nausea\" or \"Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting\". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dosageInstruction", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Dosage" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]" }, { "identity" : "workflow", "map" : "Request.occurrence[x]" }, { "identity" : "rim", "map" : "see dosageInstruction mapping" } ] }, { "id" : "MedicationRequest.dosageInstruction.id", "path" : "MedicationRequest.dosageInstruction.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.dosageInstruction.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.dosageInstruction.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.dosageInstruction.modifierExtension", "path" : "MedicationRequest.dosageInstruction.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.dosageInstruction.sequence", "path" : "MedicationRequest.dosageInstruction.sequence", "short" : "The order of the dosage instructions", "definition" : "Indicates the order in which the dosage instructions should be applied or interpreted.", "comment" : "32 bit number; for values larger than this, use decimal", "requirements" : "If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.sequence", "min" : 0, "max" : "1" }, "type" : [ { "code" : "integer" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "TQ1-1" }, { "identity" : "rim", "map" : ".text" } ] }, { "id" : "MedicationRequest.dosageInstruction.text", "path" : "MedicationRequest.dosageInstruction.text", "short" : "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.", "definition" : "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "RXO-6; RXE-21" }, { "identity" : "rim", "map" : ".text" } ] }, { "id" : "MedicationRequest.dosageInstruction.additionalInstruction", "path" : "MedicationRequest.dosageInstruction.additionalInstruction", "short" : "Supplemental instruction or warnings to the patient - e.g. \"with meals\", \"may cause drowsiness\"", "definition" : "Supplemental instructions to the patient on how to take the medication (e.g. \"with meals\" or\"take half to one hour before food\") or warnings for the patient about the medication (e.g. \"may cause drowsiness\" or \"avoid exposure of skin to direct sunlight or sunlamps\").", "comment" : "Information about administration or preparation of the medication (e.g. \"infuse as rapidly as possibly via intraperitoneal port\" or \"immediately following drug x\") should be populated in dosage.text.", "requirements" : "Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, \"Swallow with plenty of water\" which might or might not be coded.", "min" : 0, "max" : "*", "base" : { "path" : "Dosage.additionalInstruction", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "AdditionalInstruction" } ], "strength" : "example", "description" : "A coded concept identifying additional instructions such as \"take with water\" or \"avoid operating heavy machinery\".", "valueSet" : "http://hl7.org/fhir/ValueSet/additional-instruction-codes" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "v2", "map" : "RXO-7" }, { "identity" : "rim", "map" : ".text" } ] }, { "id" : "MedicationRequest.dosageInstruction.patientInstruction", "path" : "MedicationRequest.dosageInstruction.patientInstruction", "short" : "Instructions for Use", "definition" : "Instructions for Use", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.patientInstruction", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "RXO-7" }, { "identity" : "rim", "map" : ".text" } ] }, { "id" : "MedicationRequest.dosageInstruction.timing", "path" : "MedicationRequest.dosageInstruction.timing", "short" : "When medication should be administered", "definition" : "When medication should be administered.", "comment" : "This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.", "requirements" : "The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.timing", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Timing" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "QSET<TS> (GTS)" }, { "identity" : "rim", "map" : ".effectiveTime" } ] }, { "id" : "MedicationRequest.dosageInstruction.asNeeded[x]", "path" : "MedicationRequest.dosageInstruction.asNeeded[x]", "short" : "Take \"as needed\" (for x)", "definition" : "Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).", "comment" : "Can express \"as needed\" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express \"as needed\" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not \"prn\" or \"as needed\".", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.asNeeded[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" }, { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationAsNeededReason" } ], "strength" : "example", "description" : "A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc.", "valueSet" : "http://hl7.org/fhir/ValueSet/medication-as-needed-reason" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "TQ1-9" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept" } ] }, { "id" : "MedicationRequest.dosageInstruction.site", "path" : "MedicationRequest.dosageInstruction.site", "short" : "Body site to administer to", "definition" : "Body site to administer to.", "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html). May be a summary code, or a reference to a very precise definition of the location, or both.", "requirements" : "A coded specification of the anatomic site where the medication first enters the body.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.site", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationAdministrationSite" } ], "strength" : "example", "description" : "A coded concept describing the site location the medicine enters into or onto the body.", "valueSet" : "http://hl7.org/fhir/ValueSet/approach-site-codes" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "v2", "map" : "RXR-2" }, { "identity" : "rim", "map" : ".approachSiteCode" } ] }, { "id" : "MedicationRequest.dosageInstruction.route", "path" : "MedicationRequest.dosageInstruction.route", "short" : "How drug should enter body", "definition" : "How drug should enter body.", "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "requirements" : "A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.route", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "RouteOfAdministration" } ], "strength" : "example", "description" : "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.", "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "v2", "map" : "RXR-1" }, { "identity" : "rim", "map" : ".routeCode" } ] }, { "id" : "MedicationRequest.dosageInstruction.method", "path" : "MedicationRequest.dosageInstruction.method", "short" : "Technique for administering medication", "definition" : "Technique for administering medication.", "comment" : "Terminologies used often pre-coordinate this term with the route and or form of administration.", "requirements" : "A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.method", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationAdministrationMethod" } ], "strength" : "example", "description" : "A coded concept describing the technique by which the medicine is administered.", "valueSet" : "http://hl7.org/fhir/ValueSet/administration-method-codes" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "v2", "map" : "RXR-4" }, { "identity" : "rim", "map" : ".doseQuantity" } ] }, { "id" : "MedicationRequest.dosageInstruction.doseAndRate", "path" : "MedicationRequest.dosageInstruction.doseAndRate", "short" : "Amount of medication administered", "definition" : "The amount of medication administered.", "min" : 0, "max" : "*", "base" : { "path" : "Dosage.doseAndRate", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Element" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "TQ1-2" } ] }, { "id" : "MedicationRequest.dosageInstruction.doseAndRate.id", "path" : "MedicationRequest.dosageInstruction.doseAndRate.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.dosageInstruction.doseAndRate.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.dosageInstruction.doseAndRate.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.dosageInstruction.doseAndRate.type", "path" : "MedicationRequest.dosageInstruction.doseAndRate.type", "short" : "The kind of dose or rate specified", "definition" : "The kind of dose or rate specified, for example, ordered or calculated.", "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "requirements" : "If the type is not populated, assume to be \"ordered\".", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.doseAndRate.type", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DoseAndRateType" } ], "strength" : "example", "description" : "The kind of dose or rate specified.", "valueSet" : "http://hl7.org/fhir/ValueSet/dose-rate-type" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "v2", "map" : "RXO-21; RXE-23" } ] }, { "id" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]", "path" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]", "short" : "Amount of medication per dose", "definition" : "Amount of medication per dose.", "comment" : "Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.", "requirements" : "The amount of therapeutic or other substance given at one administration event.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.doseAndRate.dose[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Range" }, { "code" : "Quantity", "profile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "RXO-2, RXE-3" }, { "identity" : "rim", "map" : ".doseQuantity" } ] }, { "id" : "MedicationRequest.dosageInstruction.doseAndRate.rate[x]", "path" : "MedicationRequest.dosageInstruction.doseAndRate.rate[x]", "short" : "Amount of medication per unit of time", "definition" : "Amount of medication per unit of time.", "comment" : "It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.\r\rIt is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.", "requirements" : "Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.doseAndRate.rate[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Ratio" }, { "code" : "Range" }, { "code" : "Quantity", "profile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "RXE22, RXE23, RXE-24" }, { "identity" : "rim", "map" : ".rateQuantity" } ] }, { "id" : "MedicationRequest.dosageInstruction.maxDosePerPeriod", "path" : "MedicationRequest.dosageInstruction.maxDosePerPeriod", "short" : "Upper limit on medication per unit of time", "definition" : "Upper limit on medication per unit of time.", "comment" : "This is intended for use as an adjunct to the dosage when there is an upper cap. For example \"2 tablets every 4 hours to a maximum of 8/day\".", "requirements" : "The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.maxDosePerPeriod", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Ratio" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "rat-1", "severity" : "error", "human" : "Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present", "expression" : "(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())", "xpath" : "(count(f:numerator) = count(f:denominator)) and ((count(f:numerator) > 0) or (count(f:extension) > 0))", "source" : "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "RTO" }, { "identity" : "v2", "map" : "RXO-23, RXE-19" }, { "identity" : "rim", "map" : ".maxDoseQuantity" } ] }, { "id" : "MedicationRequest.dosageInstruction.maxDosePerAdministration", "path" : "MedicationRequest.dosageInstruction.maxDosePerAdministration", "short" : "Upper limit on medication per administration", "definition" : "Upper limit on medication per administration.", "comment" : "This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.", "requirements" : "The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.maxDosePerAdministration", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity", "profile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" }, { "key" : "sqty-1", "severity" : "error", "human" : "The comparator is not used on a SimpleQuantity", "expression" : "comparator.empty()", "xpath" : "not(exists(f:comparator))", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : "not supported" } ] }, { "id" : "MedicationRequest.dosageInstruction.maxDosePerLifetime", "path" : "MedicationRequest.dosageInstruction.maxDosePerLifetime", "short" : "Upper limit on medication per lifetime of the patient", "definition" : "Upper limit on medication per lifetime of the patient.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "requirements" : "The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.", "min" : 0, "max" : "1", "base" : { "path" : "Dosage.maxDosePerLifetime", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity", "profile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" }, { "key" : "sqty-1", "severity" : "error", "human" : "The comparator is not used on a SimpleQuantity", "expression" : "comparator.empty()", "xpath" : "not(exists(f:comparator))", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : "not supported" } ] }, { "id" : "MedicationRequest.dispenseRequest", "path" : "MedicationRequest.dispenseRequest", "short" : "Medication supply authorization", "definition" : "Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest", "min" : 0, "max" : "1" }, "type" : [ { "code" : "BackboneElement" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/ExpirationDate" }, { "identity" : "rim", "map" : "component.supplyEvent" } ] }, { "id" : "MedicationRequest.dispenseRequest.id", "path" : "MedicationRequest.dispenseRequest.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.dispenseRequest.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.dispenseRequest.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.dispenseRequest.modifierExtension", "path" : "MedicationRequest.dispenseRequest.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.dispenseRequest.initialFill", "path" : "MedicationRequest.dispenseRequest.initialFill", "short" : "First fill details", "definition" : "Indicates the quantity or duration for the first dispense of the medication.", "comment" : "If populating this element, either the quantity or the duration must be included.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.initialFill", "min" : 0, "max" : "1" }, "type" : [ { "code" : "BackboneElement" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply" } ] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.id", "path" : "MedicationRequest.dispenseRequest.initialFill.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.dispenseRequest.initialFill.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.modifierExtension", "path" : "MedicationRequest.dispenseRequest.initialFill.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.quantity", "path" : "MedicationRequest.dispenseRequest.initialFill.quantity", "short" : "First fill quantity", "definition" : "The amount or quantity to provide as part of the first dispense.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.initialFill.quantity", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity", "profile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" }, { "key" : "sqty-1", "severity" : "error", "human" : "The comparator is not used on a SimpleQuantity", "expression" : "comparator.empty()", "xpath" : "not(exists(f:comparator))", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "isModifier" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : "Supply.quantity[moodCode=RQO]" } ] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.duration", "path" : "MedicationRequest.dispenseRequest.initialFill.duration", "short" : "First fill duration", "definition" : "The length of time that the first dispense is expected to last.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.initialFill.duration", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Duration" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" }, { "key" : "drt-1", "severity" : "error", "human" : "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.", "expression" : "code.exists() implies ((system = %ucum) and value.exists())", "xpath" : "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')", "source" : "http://hl7.org/fhir/StructureDefinition/PlanDefinition" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-time-units" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DurationUnits" } ], "strength" : "extensible", "description" : "Appropriate units for Duration.", "valueSet" : "http://hl7.org/fhir/ValueSet/duration-units" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : "PQ, IVL<PQ> depending on the values" }, { "identity" : "rim", "map" : "Supply.effectivetime[moodCode=RQO]" } ] }, { "id" : "MedicationRequest.dispenseRequest.dispenseInterval", "path" : "MedicationRequest.dispenseRequest.dispenseInterval", "short" : "Minimum period of time between dispenses", "definition" : "The minimum period of time that must occur between dispenses of the medication.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.dispenseInterval", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Duration" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" }, { "key" : "drt-1", "severity" : "error", "human" : "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.", "expression" : "code.exists() implies ((system = %ucum) and value.exists())", "xpath" : "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')", "source" : "http://hl7.org/fhir/StructureDefinition/PlanDefinition" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-time-units" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DurationUnits" } ], "strength" : "extensible", "description" : "Appropriate units for Duration.", "valueSet" : "http://hl7.org/fhir/ValueSet/duration-units" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : "PQ, IVL<PQ> depending on the values" }, { "identity" : "rim", "map" : "Supply.effectivetime[moodCode=RQO]" } ] }, { "id" : "MedicationRequest.dispenseRequest.validityPeriod", "path" : "MedicationRequest.dispenseRequest.validityPeriod", "short" : "Time period supply is authorized for", "definition" : "This indicates the validity period of a prescription (stale dating the Prescription).", "comment" : "It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.", "requirements" : "Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.validityPeriod", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Period" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "per-1", "severity" : "error", "human" : "If present, start SHALL have a lower value than end", "expression" : "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath" : "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source" : "http://hl7.org/fhir/StructureDefinition/Library" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "DR" }, { "identity" : "rim", "map" : "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Refills" }, { "identity" : "rim", "map" : "effectiveTime" } ] }, { "id" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "short" : "Number of refills authorized", "definition" : "An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus \"3 repeats\", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense.", "comment" : "If displaying \"number of authorized fills\", add 1 to this number.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "min" : 0, "max" : "1" }, "type" : [ { "code" : "unsignedInt" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Quantity" }, { "identity" : "v2", "map" : "RXE-12-Number of Refills" }, { "identity" : "rim", "map" : "repeatNumber" } ] }, { "id" : "MedicationRequest.dispenseRequest.quantity", "path" : "MedicationRequest.dispenseRequest.quantity", "short" : "Amount of medication to supply per dispense", "definition" : "The amount that is to be dispensed for one fill.", "comment" : "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.quantity", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Quantity", "profile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" }, { "key" : "sqty-1", "severity" : "error", "human" : "The comparator is not used on a SimpleQuantity", "expression" : "comparator.empty()", "xpath" : "not(exists(f:comparator))", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/DaysSupply" }, { "identity" : "v2", "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system" }, { "identity" : "rim", "map" : "quantity" } ] }, { "id" : "MedicationRequest.dispenseRequest.quantity.id", "path" : "MedicationRequest.dispenseRequest.quantity.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.dispenseRequest.quantity.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.dispenseRequest.quantity.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.dispenseRequest.quantity.value", "path" : "MedicationRequest.dispenseRequest.quantity.value", "short" : "Number of Prescribed Packages", "definition" : "Number of Prescribed Packages", "comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).", "requirements" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [ { "code" : "decimal" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" } ] }, { "id" : "MedicationRequest.dispenseRequest.quantity.comparator", "path" : "MedicationRequest.dispenseRequest.quantity.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "Not allowed to be used in this context", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" } ], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" } ] }, { "id" : "MedicationRequest.dispenseRequest.quantity.unit", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "MedicationRequest.dispenseRequest.quantity.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 0, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" } ] }, { "id" : "MedicationRequest.dispenseRequest.quantity.system", "path" : "MedicationRequest.dispenseRequest.quantity.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "comment" : "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "patternUri" : "http://unitsofmeasure.org", "condition" : [ "ele-1", "qty-3" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" } ] }, { "id" : "MedicationRequest.dispenseRequest.quantity.code", "path" : "MedicationRequest.dispenseRequest.quantity.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.", "requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "patternCode" : "{Package}", "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" } ] }, { "id" : "MedicationRequest.dispenseRequest.expectedSupplyDuration", "path" : "MedicationRequest.dispenseRequest.expectedSupplyDuration", "short" : "Number of days supply per dispense", "definition" : "Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.", "comment" : "In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.expectedSupplyDuration", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Duration" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "qty-3", "severity" : "error", "human" : "If a code for the unit is present, the system SHALL also be present", "expression" : "code.empty() or system.exists()", "xpath" : "not(exists(f:code)) or exists(f:system)", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" }, { "key" : "drt-1", "severity" : "error", "human" : "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.", "expression" : "code.exists() implies ((system = %ucum) and value.exists())", "xpath" : "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')", "source" : "http://hl7.org/fhir/StructureDefinition/PlanDefinition" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-time-units" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DurationUnits" } ], "strength" : "extensible", "description" : "Appropriate units for Duration.", "valueSet" : "http://hl7.org/fhir/ValueSet/duration-units" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "SN (see also Range) or CQ" }, { "identity" : "rim", "map" : "PQ, IVL<PQ>, MO, CO, depending on the values" }, { "identity" : "rim", "map" : "PQ, IVL<PQ> depending on the values" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Substitutions" }, { "identity" : "rim", "map" : "expectedUseTime" } ] }, { "id" : "MedicationRequest.dispenseRequest.performer", "path" : "MedicationRequest.dispenseRequest.performer", "short" : "Intended dispenser", "definition" : "Indicates the intended dispensing Organization specified by the prescriber.", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.performer", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "w5", "map" : "FiveWs.who" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" } ] }, { "id" : "MedicationRequest.substitution", "path" : "MedicationRequest.substitution", "short" : "Any restrictions on medication substitution", "definition" : "Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.substitution", "min" : 0, "max" : "1" }, "type" : [ { "code" : "BackboneElement" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions" }, { "identity" : "rim", "map" : "subjectOf.substitutionPersmission" } ] }, { "id" : "MedicationRequest.substitution.id", "path" : "MedicationRequest.substitution.id", "representation" : [ "xmlAttr" ], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" } ], "code" : "http://hl7.org/fhirpath/System.String" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "MedicationRequest.substitution.extension", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" } ], "path" : "MedicationRequest.substitution.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.substitution.modifierExtension", "path" : "MedicationRequest.substitution.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "MedicationRequest.substitution.allowed[x]", "path" : "MedicationRequest.substitution.allowed[x]", "short" : "Whether substitution is allowed or not", "definition" : "True if the prescriber allows a different drug to be dispensed from what was prescribed.", "comment" : "This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.substitution.allowed[x]", "min" : 1, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport" : true, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "script10.6", "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions" }, { "identity" : "v2", "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status" }, { "identity" : "rim", "map" : "code" } ] }, { "id" : "MedicationRequest.substitution.reason", "path" : "MedicationRequest.substitution.reason", "short" : "Why should (not) substitution be made", "definition" : "Indicates the reason for the substitution, or why substitution must or must not be performed.", "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.substitution.reason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationIntendedSubstitutionReason" } ], "strength" : "example", "description" : "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.", "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE" }, { "identity" : "rim", "map" : "CD" }, { "identity" : "orim", "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity" : "script10.6", "map" : "not mapped" }, { "identity" : "v2", "map" : "RXE-9 Substition status" }, { "identity" : "rim", "map" : "reasonCode" } ] }, { "id" : "MedicationRequest.priorPrescription", "path" : "MedicationRequest.priorPrescription", "short" : "An order/prescription that is being replaced", "definition" : "A link to a resource representing an earlier order related order or prescription.", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.priorPrescription", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.replaces" }, { "identity" : "script10.6", "map" : "not mapped" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]" } ] }, { "id" : "MedicationRequest.detectedIssue", "path" : "MedicationRequest.detectedIssue", "short" : "Clinical Issue with action", "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.", "comment" : "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.", "alias" : [ "Contraindication", "Drug Utilization Review (DUR)", "Alert" ], "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.detectedIssue", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/DetectedIssue" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value" } ] }, { "id" : "MedicationRequest.eventHistory", "path" : "MedicationRequest.eventHistory", "short" : "A list of events of interest in the lifecycle", "definition" : "Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.", "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.eventHistory", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Provenance" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ref-1", "severity" : "error", "human" : "SHALL have a contained resource if a local reference is provided", "expression" : "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath" : "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source" : "http://hl7.org/fhir/StructureDefinition/Observation" } ], "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity" : "workflow", "map" : "Request.relevantHistory" }, { "identity" : "rim", "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" } ] } ] }, "differential" : { "element" : [ { "id" : "MedicationRequest", "path" : "MedicationRequest" }, { "id" : "MedicationRequest.meta", "path" : "MedicationRequest.meta", "mustSupport" : true }, { "id" : "MedicationRequest.meta.versionId", "path" : "MedicationRequest.meta.versionId", "mustSupport" : true }, { "id" : "MedicationRequest.meta.lastUpdated", "path" : "MedicationRequest.meta.lastUpdated", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription", "path" : "MedicationRequest.extension", "sliceName" : "multiplePrescription", "min" : 0, "max" : "1", "type" : [ { "code" : "Extension", "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/multiple-prescription-extension" ] } ], "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:indicator", "path" : "MedicationRequest.extension.extension", "sliceName" : "indicator" }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:indicator.value[x]", "path" : "MedicationRequest.extension.extension.value[x]", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter", "path" : "MedicationRequest.extension.extension", "sliceName" : "counter" }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x]", "path" : "MedicationRequest.extension.extension.value[x]", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator", "path" : "MedicationRequest.extension.extension.value[x].numerator", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].numerator.value", "path" : "MedicationRequest.extension.extension.value[x].numerator.value", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator", "path" : "MedicationRequest.extension.extension.value[x].denominator", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:counter.value[x].denominator.value", "path" : "MedicationRequest.extension.extension.value[x].denominator.value", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period", "path" : "MedicationRequest.extension.extension", "sliceName" : "period" }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.value[x]", "path" : "MedicationRequest.extension.extension.value[x]", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.value[x].start", "path" : "MedicationRequest.extension.extension.value[x].start", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:period.value[x].end", "path" : "MedicationRequest.extension.extension.value[x].end", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id", "path" : "MedicationRequest.extension.extension", "sliceName" : "id" }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x]", "path" : "MedicationRequest.extension.extension.value[x]", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].system", "path" : "MedicationRequest.extension.extension.value[x].system", "mustSupport" : true }, { "id" : "MedicationRequest.extension:multiplePrescription.extension:id.value[x].value", "path" : "MedicationRequest.extension.extension.value[x].value", "mustSupport" : true }, { "id" : "MedicationRequest.extension:isBvg", "path" : "MedicationRequest.extension", "sliceName" : "isBvg", "min" : 0, "max" : "1", "type" : [ { "code" : "Extension", "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/indicator-bvg-extension" ] } ], "mustSupport" : true }, { "id" : "MedicationRequest.extension:isBvg.value[x]", "path" : "MedicationRequest.extension.value[x]", "mustSupport" : true }, { "id" : "MedicationRequest.identifier", "path" : "MedicationRequest.identifier", "slicing" : { "discriminator" : [ { "type" : "pattern", "path" : "$this" } ], "description" : "ePrescription identifier and overall transaction identifier", "ordered" : false, "rules" : "open" } }, { "id" : "MedicationRequest.identifier:RxPrescriptionProcessIdentifier", "path" : "MedicationRequest.identifier", "sliceName" : "RxPrescriptionProcessIdentifier", "min" : 0, "max" : "1", "type" : [ { "code" : "Identifier", "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-prescription-process-identifier" ] } ], "patternIdentifier" : { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-prescription-process-identifier" } }, { "id" : "MedicationRequest.identifier:RxOriginatorProcessIdentifier", "path" : "MedicationRequest.identifier", "sliceName" : "RxOriginatorProcessIdentifier", "min" : 0, "max" : "1", "type" : [ { "code" : "Identifier", "profile" : [ 🔗 "https://gematik.de/fhir/epa-medication/StructureDefinition/rx-originator-process-identifier" ] } ], "patternIdentifier" : { "system" : "https://gematik.de/fhir/epa-medication/sid/rx-originator-process-identifier" } }, { "id" : "MedicationRequest.status", "path" : "MedicationRequest.status", "short" : "Status of Medication Request", "binding" : { "strength" : "required", "valueSet" : "https://gematik.de/fhir/terminology/ValueSet/ti-medication-request-status-vs" } }, { "id" : "MedicationRequest.intent", "path" : "MedicationRequest.intent", "short" : "filler-order", "definition" : "e.g. when data is synchronized with the E-Rezept-Fachdienst, the 'filler-order' code should be used here.", "mustSupport" : true }, { "id" : "MedicationRequest.medication[x]", "path" : "MedicationRequest.medication[x]", "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Medication" ] } ], "mustSupport" : true }, { "id" : "MedicationRequest.subject", "path" : "MedicationRequest.subject", "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "mustSupport" : true }, { "id" : "MedicationRequest.subject.identifier", "path" : "MedicationRequest.subject.identifier", "min" : 1, "type" : [ { "code" : "Identifier", "profile" : [ 🔗 "http://fhir.de/StructureDefinition/identifier-kvid-10" ] } ], "mustSupport" : true }, { "id" : "MedicationRequest.authoredOn", "path" : "MedicationRequest.authoredOn", "short" : "Issue Date", "definition" : "Issue Date of the Prescription", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.requester", "path" : "MedicationRequest.requester", "type" : [ { "code" : "Reference", "targetProfile" : [ 🔗 "http://hl7.org/fhir/StructureDefinition/Organization"🔗 , "http://hl7.org/fhir/StructureDefinition/Practitioner"🔗 , "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] } ], "mustSupport" : true }, { "id" : "MedicationRequest.note", "path" : "MedicationRequest.note", "max" : "1", "mustSupport" : true }, { "id" : "MedicationRequest.note.text", "path" : "MedicationRequest.note.text", "short" : "Dispensing Note", "definition" : "Instructions to the pharmacy that go beyond the dosage information", "mustSupport" : true }, { "id" : "MedicationRequest.dosageInstruction", "path" : "MedicationRequest.dosageInstruction", "short" : "Hier werden Informationen zur Dosierung angegeben.", "definition" : "Hier werden Informationen zur Dosierung angegeben.", "max" : "1", "mustSupport" : true }, { "id" : "MedicationRequest.dosageInstruction.text", "path" : "MedicationRequest.dosageInstruction.text", "short" : "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.", "definition" : "Hier kann die Dosieranweisung in Form eines Freitextes abgebildet werden.", "mustSupport" : true }, { "id" : "MedicationRequest.dosageInstruction.patientInstruction", "path" : "MedicationRequest.dosageInstruction.patientInstruction", "short" : "Instructions for Use", "definition" : "Instructions for Use", "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest", "path" : "MedicationRequest.dispenseRequest", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.quantity", "path" : "MedicationRequest.dispenseRequest.quantity", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.quantity.value", "path" : "MedicationRequest.dispenseRequest.quantity.value", "short" : "Number of Prescribed Packages", "definition" : "Number of Prescribed Packages", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.quantity.system", "path" : "MedicationRequest.dispenseRequest.quantity.system", "min" : 1, "patternUri" : "http://unitsofmeasure.org", "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.quantity.code", "path" : "MedicationRequest.dispenseRequest.quantity.code", "min" : 1, "patternCode" : "{Package}", "mustSupport" : true }, { "id" : "MedicationRequest.substitution", "path" : "MedicationRequest.substitution", "mustSupport" : true }, { "id" : "MedicationRequest.substitution.allowed[x]", "path" : "MedicationRequest.substitution.allowed[x]", "type" : [ { "code" : "boolean" } ], "mustSupport" : true } ] } } ( src )

External References

Type Reference Content

web www.gematik.de IG © 2025+ gematik GmbH . Package de.gematik.epa.medication#1.0.5-1 based on FHIR 4.0.1 . Generated 2025-03-04
Links: Table of Contents | QA Report

web snomed.info Medication Type : SNOMED CT 781405001 : Medicinal product package (product)

web snomed.info Medication Type : SNOMED CT 1208954007 : Extemporaneous preparation (product)

web snomed.info Medication Type : SNOMED CT 373873005 : Pharmaceutical / biologic product (product)

web fhir.kbv.de The codes SHALL be taken from For codes, see https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE
( required to https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE )

web tx.hl7europe.eu The codes SHOULD be taken from For codes, see Medicine Doseform - IPS
( preferred to http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform )

web fhir.kbv.de The codes SHALL be taken from For codes, see https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM
( required to https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM )

web tx.hl7europe.eu The codes SHOULD be taken from Medicine Doseform - IPS
( preferred to http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform )

web fhir.kbv.de The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM
( required to https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM )

web fhir.kbv.de The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE
( required to https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE )

web fhir.kbv.de Value of extension
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE ( required )
ele-1: All FHIR elements must have a @value or children

web tx.hl7europe.eu Code defined by a terminology system
Binding: Medicine Doseform - IPS ( preferred )
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following

web fhir.kbv.de Code defined by a terminology system
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM ( required )
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following

Type	Reference	Content
web	www.gematik.de	IG © 2025+ gematik GmbH . Package de.gematik.epa.medication#1.0.5-1 based on FHIR 4.0.1 . Generated 2025-03-04 Links: Table of Contents \| QA Report
web	snomed.info	Medication Type : SNOMED CT 781405001 : Medicinal product package (product)
web	snomed.info	Medication Type : SNOMED CT 1208954007 : Extemporaneous preparation (product)
web	snomed.info	Medication Type : SNOMED CT 373873005 : Pharmaceutical / biologic product (product)
web	fhir.kbv.de	The codes SHALL be taken from For codes, see https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE ( required to `https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE` )
web	tx.hl7europe.eu	The codes SHOULD be taken from For codes, see Medicine Doseform - IPS ( preferred to `http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform` )
web	fhir.kbv.de	The codes SHALL be taken from For codes, see https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM ( required to `https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM` )
web	tx.hl7europe.eu	The codes SHOULD be taken from Medicine Doseform - IPS ( preferred to `http://hl7.org/fhir/uv/ips/ValueSet/medicine-doseform` )
web	fhir.kbv.de	The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM ( required to `https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM` )
web	fhir.kbv.de	The codes SHALL be taken from https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE ( required to `https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE` )
web	fhir.kbv.de	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE ( required ) ele-1: All FHIR elements must have a @value or children
web	tx.hl7europe.eu	Code defined by a terminology system Binding: Medicine Doseform - IPS ( preferred ) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
web	fhir.kbv.de	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM ( required ) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
web	fhir.kbv.de	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE `https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE`
web	tx.hl7europe.eu	from http://tx.hl7europe.eu/r4
web	ucum.org	UCUMCodes (a valid code from UCUM ) `http://hl7.org/fhir/ValueSet/ucum-units` from the FHIR Standard
web	tx.hl7europe.eu	Code defined by a terminology system Binding: Medicine Doseform - IPS ( preferred ) Required Pattern: At least the following
web	fhir.kbv.de	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM ( required ) Required Pattern: At least the following
web	fhir.kbv.de	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE ( required )
web	tx.hl7europe.eu	Code defined by a terminology system Binding: Medicine Doseform - IPS ( preferred ) Required Pattern: At least the following
web	fhir.kbv.de	Code defined by a terminology system Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM ( required ) Required Pattern: At least the following
web	www.omg.org	Mappings for ServD ( http://www.omg.org/spec/ServD/1.0/ )
web	fhir.de	Identifier für Patient
web	github.com	Eine Beispielimplementierung für die Generierung eines SHA-256-basierten Hash-Werts ist auf GitHub veröffentlicht und steht als Referenz zur Verfügung.
web	gemspec.gematik.de	gemSpec_Aktensystem_ePAfueralle
web	gemspec.gematik.de	gemILF_PS_ePA
web	gemspec.gematik.de	gemSpec_Krypt
web	www.fmc-modeling.org	Abbildung: Systemüberblick der Fachanwendung ePA ( FMC-Blockdiagramm )
web	github.com	Die ePA für alle unterstützt diverse Widerspruchsoptionen, u.a. für Versorgungsprozesse. Der Versicherte kann mit den folgenden Auswirkungen per ePA-FdV über die entsprechende Aktensystemschnittstelle wie folgt widersprechen:
web	service.gematik.de	Allgemeine Fragen und Kommentare zum Leitfaden können Sie über das Anfragenportal der gematik einreichen. Falls kein Zugang besteht, senden Sie bitte eine E-Mail an “patientteam [ at ] gematik [ dot ] de” mit dem Betreff “Anfragenportal Zugang”.
web	gemspec.gematik.de	gematik: Legal Policy gemäß § 341 Absatz 2 SGB V. https://gemspec.gematik.de/docs/gemSpec/gemSpec_Aktensystem_ePAfueralle/gemSpec_Aktensystem_ePAfueralle_V1.4.0/#3.10
web	gemspec.gematik.de	gematik: Audit Event Service. https://gemspec.gematik.de/docs/gemSpec/gemSpec_Aktensystem_ePAfueralle/gemSpec_Aktensystem_ePAfueralle_V1.4.0/#3.14
web	gemspec.gematik.de	gematik: FHIR IG TI Common - Anforderungen an den Medication Service. https://gemspec.gematik.de/fhir/ig/ti/1.0.0/actor-medication.html
web	gemspec.gematik.de	gematik: FHIR IG EPA Basisfunktionalitäten - Anforderungen an den Medication Service. https://gemspec.gematik.de/fhir/ig/epa/1.0.5/actor-medication.html

web

fhir.kbv.de

https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE

https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE

web tx.hl7europe.eu from http://tx.hl7europe.eu/r4

web

ucum.org

UCUMCodes (a valid code from UCUM )

http://hl7.org/fhir/ValueSet/ucum-units

from the FHIR Standard

web tx.hl7europe.eu Code defined by a terminology system
Binding: Medicine Doseform - IPS ( preferred )

Required Pattern: At least the following

web fhir.kbv.de Code defined by a terminology system
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM ( required )

Required Pattern: At least the following

web fhir.kbv.de Value of extension
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_NORMGROESSE ( required )

web tx.hl7europe.eu Code defined by a terminology system
Binding: Medicine Doseform - IPS ( preferred )

Required Pattern: At least the following

web fhir.kbv.de Code defined by a terminology system
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_KBV_DARREICHUNGSFORM ( required )

Required Pattern: At least the following

web www.omg.org Mappings for ServD ( http://www.omg.org/spec/ServD/1.0/ )

web

fhir.de

Identifier für Patient

web github.com Eine Beispielimplementierung für die Generierung eines SHA-256-basierten Hash-Werts ist auf GitHub veröffentlicht und steht als Referenz zur Verfügung.

web

gemspec.gematik.de

gemSpec_Aktensystem_ePAfueralle

web

gemspec.gematik.de

gemILF_PS_ePA

web

gemspec.gematik.de

gemSpec_Krypt

web www.fmc-modeling.org Abbildung: Systemüberblick der Fachanwendung ePA ( FMC-Blockdiagramm )

web github.com Die ePA für alle unterstützt diverse Widerspruchsoptionen, u.a. für Versorgungsprozesse. Der Versicherte kann mit den folgenden Auswirkungen per ePA-FdV über die entsprechende Aktensystemschnittstelle wie folgt widersprechen:

web service.gematik.de Allgemeine Fragen und Kommentare zum Leitfaden können Sie über das Anfragenportal der gematik einreichen. Falls kein Zugang besteht, senden Sie bitte eine E-Mail an “patientteam [ at ] gematik [ dot ] de” mit dem Betreff “Anfragenportal Zugang”.

web gemspec.gematik.de gematik: Legal Policy gemäß § 341 Absatz 2 SGB V. https://gemspec.gematik.de/docs/gemSpec/gemSpec_Aktensystem_ePAfueralle/gemSpec_Aktensystem_ePAfueralle_V1.4.0/#3.10

web gemspec.gematik.de gematik: Audit Event Service. https://gemspec.gematik.de/docs/gemSpec/gemSpec_Aktensystem_ePAfueralle/gemSpec_Aktensystem_ePAfueralle_V1.4.0/#3.14

web gemspec.gematik.de gematik: FHIR IG TI Common - Anforderungen an den Medication Service. https://gemspec.gematik.de/fhir/ig/ti/1.0.0/actor-medication.html

web gemspec.gematik.de gematik: FHIR IG EPA Basisfunktionalitäten - Anforderungen an den Medication Service. https://gemspec.gematik.de/fhir/ig/epa/1.0.5/actor-medication.html

Internal Images

ePA-Grobarchitektur.svg